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Biopsy of the Joint at the Base of a Toe

Massachusetts 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 $2,570 · 10th–90th $302$5,1290%5%10%10th90th$2,570Professionalmedian $447 · 10th–90th $257$9330%5%10%10th90th$447$100.0$500.0$2.0K$10.0K$50.0K

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
$426.58
Median
$2,818.38
Typical High
$5,128.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$724.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$4,897.79
Typical High
$28,840.32
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$1,318.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$1,000.00
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$354.81
Typical High
$3,467.37
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$537.03
Typical High
$758.58
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,265.80
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$524.81
Typical High
$977.24
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$4,897.79
Typical High
$28,840.32
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$549.54
Typical High
$1,047.13