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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.

Facilitymedian $2,291 · 10th–90th $537$5,1290%10%10th90th$2,291Professionalmedian $363 · 10th–90th $229$6170%10%10th90th$363$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$269.15
Median
$1,288.25
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$616.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
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
$436.52
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
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
$407.38
Typical High
$707.95