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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.

Rates data updated July 2026.

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

$3,625

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

Insurers have agreed to pay about $3,625 for this procedure. That total is two separate charges: $389 to the doctor who performs it, and $3,236 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$389$302 to $537
Facility feeThe hospital or surgery center$3,236$1,950 to $5,129

How much rates vary

Facilitymedian $3,236 · 10th to 90th $417 to $7,413Professionalmedian $389 · 10th to 90th $251 to $1,549
$200$500$1K$2K$5K$10Kfacility $3,236professional $389

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
$323.59
Median
$2,511.89
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$2,238.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
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
$275.42
Median
$446.68
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
$1,513.56
Median
$2,818.38
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$426.58
Typical High
$707.95

Where Missouri 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

Missouri· 21st of 50

$3,625

$389 physician + $3,236 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.