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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.

Rates data updated July 2026.

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

$4,992

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

Insurers have agreed to pay about $4,992 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $4,467 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$525$363 to $776
Facility feeThe hospital or surgery center$4,467$2,344 to $7,943

How much rates vary

Facilitymedian $4,467 · 10th to 90th $417 to $13,490Professionalmedian $525 · 10th to 90th $240 to $1,445
$500$1K$2K$5K$10K$20Kfacility $4,467professional $525

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
$2,344.23
Median
$5,011.87
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$407.38
Typical High
$2,238.72
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
$724.44
Typical High
$1,148.15
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
$812.83
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
$812.83
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$4,265.80
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$616.60
Typical High
$1,122.02

Where Nebraska 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

Nebraska· 9th of 50

$4,992

$525 physician + $4,467 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.