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Biopsy of the Joint at the Base of a Toe

South Carolina 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 $4,266 · 10th–90th $355$9,7720%5%10th90th$4,266Professionalmedian $380 · 10th–90th $251$6760%10%10th90th$380$50.0$200.0$1.0K$5.0K$20.0K

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
$436.52
Median
$6,025.60
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$676.08
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$4,786.30
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$436.52
Typical High
$741.31
Medcost
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$478.63
Typical High
$758.58
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$10,232.93
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$630.96