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Biopsy of the Joint at the Base of a Toe

Kentucky 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.

Rates data updated July 2026.

How much does Biopsy of the Joint at the Base of a Toe cost?

$2,607

Typical total for the visit. In Kentucky, July 2026.

Insurers have agreed to pay about $2,607 for this procedure. That total is two separate charges: $316 to the doctor who performs it, and $2,291 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$316$234 to $427
Facility feeThe hospital or surgery center$2,291$1,413 to $3,548

How much rates vary

Facilitymedian $2,291 · 10th to 90th $427 to $4,365Professionalmedian $316 · 10th to 90th $214 to $603
$200$500$1K$2K$5Kfacility $2,291professional $316

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$794.33
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$323.59
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,398.83
Typical High
$4,365.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$234.42
Typical High
$588.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$323.59
Typical High
$416.87
CareSource
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$501.19
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$3,388.44
Typical High
$6,456.54
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$758.58

Where Kentucky sits

The same service costs 13.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Kentucky· 31st of 50

$2,607

$316 physician + $2,291 facility

IN $9,696WV $710

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.