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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.

Rates data updated July 2026.

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

$2,246

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

Insurers have agreed to pay about $2,246 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $1,778 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$339 to $708
Facility feeThe hospital or surgery center$1,778$380 to $3,311

How much rates vary

Facilitymedian $1,778 · 10th to 90th $302 to $5,129Professionalmedian $468 · 10th to 90th $263 to $1,000
$200$500$1K$2K$5K$10K$20Kfacility $1,778professional $468

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
$426.58
Median
$2,754.23
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$416.87
Typical High
$831.76
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
$269.15
Median
$524.81
Typical High
$1,288.25
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
$524.81
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
$512.86
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
$269.15
Median
$524.81
Typical High
$1,288.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$4,265.80
Typical High
$9,772.37
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$562.34
Typical High
$1,047.13

Where Massachusetts 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

Massachusetts· 34th of 50

$2,246

$468 physician + $1,778 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.