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Biopsy of the Joint at the Base of a Toe

Nevada 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 $2,884 · 10th–90th $363$7,7620%20%10th90th$2,884Professionalmedian $398 · 10th–90th $245$6920%20%10th90th$398$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$363.08
Median
$2,454.71
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$6,025.60
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$489.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$660.69
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$380.19
Typical High
$630.96
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$363.08
Typical High
$575.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,187.76
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$407.38
Typical High
$691.83