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Biopsy of the Joint at the Base of a Toe

Oklahoma 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 $2,344 · 10th–90th $407$6,6070%5%10%10th90th$2,344Professionalmedian $372 · 10th–90th $240$6170%20%10th90th$372$200.0$500.0$1.0K$2.0K$5.0K$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
$794.33
Median
$2,570.40
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$363.08
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$398.11
Typical High
$588.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$562.34
Typical High
$4,786.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$2,884.03
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$354.81
Typical High
$512.86