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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.

Facilitymedian $457 · 10th–90th $257$8,5110%10%20%10th90th$457Professionalmedian $490 · 10th–90th $257$8910%5%10%10th90th$490$200.0$500.0$1.0K$2.0K$5.0K

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
Facility
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$660.69
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
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
$562.34
Typical High
$954.99