go back

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.

Facilitymedian $5,888 · 10th–90th $3,090$10,7150%10%10th90th$5,888Professionalmedian $407 · 10th–90th $245$1,1480%5%10%10th90th$407$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
$3,090.30
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$489.78
Typical High
$1,047.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$467.74
Typical High
$645.65
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$10,471.29
Typical High
$16,595.87
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
$2,884.03
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$389.05
Typical High
$954.99