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Biopsy of the Joint at the Base of a Toe

Montana 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 $575 · 10th–90th $427$7760%20%10th90th$575Professionalmedian $468 · 10th–90th $263$9120%20%10th90th$468$100.0$500.0$2.0K$10.0K$50.0K

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
Professional
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$616.60
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$758.58
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$758.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$741.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$467.74
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$812.83