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Biopsy of the Joint at the Base of a Toe

North Carolina 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?

$1,107

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,107 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $661 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$447$324 to $661
Facility feeThe hospital or surgery center$661$398 to $3,162

How much rates vary

Facilitymedian $661 · 10th to 90th $288 to $6,918Professionalmedian $447 · 10th to 90th $251 to $933
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $661professional $447

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
$380.19
Median
$1,659.59
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$851.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$524.81
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$478.63
Typical High
$851.14
Medcost
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,456.54
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$741.31
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$28,840.32
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,235.94

Where North Carolina sits

The same service costs 13.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNorth Carolina $1,107 · 45th of 50
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.