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Biopsy of the Joint at the Base of a Toe

Nebraska 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 $4,467 · 10th–90th $447$8,5110%10%10th90th$4,467Professionalmedian $490 · 10th–90th $257$1,4130%10%10th90th$490$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$776.25
Median
$5,011.87
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$407.38
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,165.95
Typical High
$12,022.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$758.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$758.58
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,202.26
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Midlands
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$794.33
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,897.79
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$977.24