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Biopsy of the Joint at the Base of a Toe

Ohio 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?

$3,421

Typical total for the visit. In Ohio, July 2026.

Insurers have agreed to pay about $3,421 for this procedure. That total is two separate charges: $331 to the doctor who performs it, and $3,090 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$331$251 to $427
Facility feeThe hospital or surgery center$3,090$1,413 to $5,248

How much rates vary

Facilitymedian $3,090 · 10th to 90th $457 to $10,715Professionalmedian $331 · 10th to 90th $204 to $676
$10.0$100.0$1.0K$10.0Kfacility $3,090professional $331

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
$380.19
Median
$2,951.21
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$2,511.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$398.11
CareSource
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$426.58
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$691.83
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$426.58
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$724.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$4,168.69
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$676.08

Where Ohio 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 feeOhio $3,421 · 22nd 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.