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Biopsy of the Joint at the Base of a Toe

North Dakota 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?

$970

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

Insurers have agreed to pay about $970 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $407 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$427 to $759
Facility feeThe hospital or surgery center$407$288 to $457

How much rates vary

Facilitymedian $407 · 10th to 90th $257 to $5,129Professionalmedian $562 · 10th to 90th $282 to $912
$500$1K$2K$5Kfacility $407professional $562

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
$257.04
Median
$398.11
Typical High
$2,511.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$398.11
Typical High
$691.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$851.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$812.83
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$549.54
Typical High
$912.01

Where North Dakota 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

North Dakota· 48th of 50

$970

$562 physician + $407 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.