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Biopsy of the Joint at the Base of a Toe

Kansas rates for HCPCS 28052

This procedure opens the joint where a toe meets the long bone of the foot (the metatarsophalangeal joint) through a small incision to obtain a tissue sample from inside it. It is used to investigate unexplained swelling, pain, or a suspected growth in that joint when other tests have not given a clear diagnosis. The joint is closed and the foot is typically protected in a stiff-soled shoe or splint afterward.

Facilitymedian $3,236 · 10th–90th $490$8,1280%5%10%10th90th$3,236Professionalmedian $398 · 10th–90th $245$6170%10%20%10th90th$398$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$371.54
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,905.46
Typical High
$1,905.46
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$457.09
Typical High
$758.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$4,168.69
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,454.71
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$426.58
Typical High
$630.96