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Biopsy of the Joint at the Base of a Toe

Missouri 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 $3,311 · 10th–90th $537$7,4130%5%10%10th90th$3,311Professionalmedian $389 · 10th–90th $240$7940%10%10th90th$389$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$398.11
Median
$3,162.28
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$389.05
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,677.35
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$812.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$489.78
Typical High
$4,365.16
Medica
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$660.69
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,630.27
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$416.87
Typical High
$660.69