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Biopsy of the Joint at the Base of a Toe

Rhode Island 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?

$427

Typical physician fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $427 for this service. Most negotiated rates run $324 to $550.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $2,570 to $7,413Professionalmedian $427 · 10th to 90th $263 to $676
$500$1K$2K$5K$10Kfacility $3,715professional $427

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,754.23
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$676.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,677.35
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$446.68
Typical High
$870.96

Where Rhode Island sits

The same service costs 5.4 times more in Hawaii 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.

Rhode Island· 34th of 51

$427

HI $1,862WV $347

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.