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Biopsy of the Joint at the Base of a Toe

New York 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?

$4,802

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

Insurers have agreed to pay about $4,802 for this procedure. That total is two separate charges: $437 to the doctor who performs it, and $4,365 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$437$355 to $603
Facility feeThe hospital or surgery center$4,365$1,820 to $7,413

How much rates vary

Facilitymedian $4,365 · 10th to 90th $407 to $10,233Professionalmedian $437 · 10th to 90th $269 to $1,096
$100.0$1.0K$10.0K$100.0Kfacility $4,365professional $437

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
$354.81
Median
$2,951.21
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$831.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$457.09
Typical High
$1,071.52
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,698.24
Typical High
$6,165.95
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$524.81
Typical High
$1,412.54
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$933.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$870.96
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$363.08
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$501.19
Typical High
$831.76
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$489.78
Typical High
$1,445.44
Univera
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$309.03
Typical High
$1,380.38
Univera
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$489.78
Typical High
$933.25

Where New York 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 York $4,802 · 11th 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.