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Biopsy of the Joint at the Base of a Toe

Maryland 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?

$363

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $263 to $457.

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.

How much rates vary

Facilitymedian $525 · 10th to 90th $437 to $1,820Professionalmedian $363 · 10th to 90th $245 to $603
$200$500$1K$2K$5Kfacility $525professional $363

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$501.19
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$457.09
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$812.83
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$524.81
Typical High
$1,819.70
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$794.33
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$467.74
Typical High
$616.60

Where Maryland sits

The same service costs 5.4 times more in Hawaii 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.

Maryland· 50th of 51

$363

HI $1,862WV $347

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.