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Biopsy of the Joint at the Base of a Toe

Maine 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?

$427

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $302 to $537.

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 $6,761 · 10th to 90th $6,761 to $6,761Professionalmedian $427 · 10th to 90th $269 to $724
$200$500$1K$2K$5Kfacility $6,761professional $427

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
$263.03
Median
$363.08
Typical High
$457.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$512.86
Typical High
$831.76
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$851.14
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$467.74
Typical High
$794.33

Where Maine 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.

Maine· 32nd of 51

$427

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.