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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.

Rates data updated July 2026.

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

$1,043

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

Insurers have agreed to pay about $1,043 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $575 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$468$398 to $661
Facility feeThe hospital or surgery center$575$447 to $692

How much rates vary

Facilitymedian $575 · 10th to 90th $427 to $776Professionalmedian $468 · 10th to 90th $263 to $794
$100$1K$10Kfacility $575professional $468

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
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
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
$436.52
Typical High
$741.31
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

Where Montana 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

Montana· 47th of 50

$1,043

$468 physician + $575 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.