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Biopsy of the Joint at the Base of a Toe

New Jersey 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?

$6,433

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

Insurers have agreed to pay about $6,433 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $6,026 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$407$282 to $562
Facility feeThe hospital or surgery center$6,026$4,467 to $8,511

How much rates vary

Facilitymedian $6,026 · 10th to 90th $794 to $10,965Professionalmedian $407 · 10th to 90th $240 to $1,445
$200$500$1K$2K$5K$10Kfacility $6,026professional $407

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
$794.33
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$363.08
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$1,096.48
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$645.65
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,964.78
Typical High
$16,982.44
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$478.63
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$912.01

Where New Jersey 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 Jersey· 4th of 50

$6,433

$407 physician + $6,026 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.