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Biopsy of the Joint at the Base of a Toe

Minnesota 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 $2,399 · 10th–90th $398$11,7490%5%10th90th$2,399Professionalmedian $676 · 10th–90th $331$1,3800%5%10%10th90th$676$50.0$200.0$1.0K$5.0K$20.0K

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
$257.04
Median
$398.11
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$7,585.78
Typical High
$22,908.68
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$812.83
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,479.11
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$954.99
Typical High
$1,659.59
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$2,754.23
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$537.03
Typical High
$1,819.70
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$851.14
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$5,011.87
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,288.25