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Biopsy of the Joint at the Base of a Toe

New Hampshire 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?

$4,099

Typical total for the visit. In New Hampshire, July 2026.

Insurers have agreed to pay about $4,099 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,631 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$468$363 to $617
Facility feeThe hospital or surgery center$3,631$1,445 to $6,026

How much rates vary

Facilitymedian $3,631 · 10th to 90th $1,047 to $9,550Professionalmedian $468 · 10th to 90th $288 to $832
$100$200$500$1K$2K$5K$10Kfacility $3,631professional $468

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
$660.69
Median
$1,445.44
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$416.87
Typical High
$575.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$478.63
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$537.03
Typical High
$1,148.15
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$501.19
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$9,549.93
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$562.34
Typical High
$1,071.52
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$100.00
Typical High
$478.63

Where New Hampshire 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

New Hampshire· 16th of 50

$4,099

$468 physician + $3,631 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.