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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.

Facilitymedian $724 · 10th–90th $398$6,0260%20%10th90th$724Professionalmedian $525 · 10th–90th $257$9770%10%20%10th90th$525$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$575.44
Median
$912.01
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$891.25
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
$933.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$977.24
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
$7,762.47
Median
$10,232.93
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
$10,000.00
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$645.65
Typical High
$1,047.13