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Biopsy of the Joint at the Base of a Toe

New Mexico 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?

$1,778

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

Insurers have agreed to pay about $1,778 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $1,380 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$398$288 to $490
Facility feeThe hospital or surgery center$1,380$417 to $7,413

How much rates vary

Facilitymedian $1,380 · 10th to 90th $347 to $10,715Professionalmedian $398 · 10th to 90th $245 to $832
$50.0$200.0$1.0K$5.0Kfacility $1,380professional $398

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
$371.54
Median
$602.56
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$7,943.28
Typical High
$12,302.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$323.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$407.38
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$467.74
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$6,918.31
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$776.25

Where New Mexico sits

The same service costs 13.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Mexico $1,778 · 38th of 50
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.