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Biopsy of the Joint at the Base of a Toe

Oregon 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?

$1,327

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

Insurers have agreed to pay about $1,327 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $724 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$603$437 to $813
Facility feeThe hospital or surgery center$724$550 to $851

How much rates vary

Facilitymedian $724 · 10th to 90th $398 to $6,026Professionalmedian $603 · 10th to 90th $282 to $1,000
$100$200$500$1K$2K$5K$10Kfacility $724professional $603

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
$660.69
Median
$1,023.29
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$407.38
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$630.96
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$676.08
Typical High
$954.99
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$891.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$912.01
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$851.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$912.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$1,000.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$10,715.19
Typical High
$12,882.50
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$9,549.93
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$645.65
Typical High
$1,047.13

Where Oregon sits

The same service costs 13.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Oregon· 42nd of 50

$1,327

$603 physician + $724 facility

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.