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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.

Rates data updated July 2026.

How much does Biopsy of the Joint at the Base of a Toe cost?

$3,769

Typical total for the visit. In South Carolina, July 2026.

Insurers have agreed to pay about $3,769 for this procedure. That total is two separate charges: $380 to the doctor who performs it, and $3,388 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$380$295 to $468
Facility feeThe hospital or surgery center$3,388$457 to $8,318

How much rates vary

Facilitymedian $3,388 · 10th to 90th $324 to $13,490Professionalmedian $380 · 10th to 90th $245 to $661
$200$500$1K$2K$5K$10K$20Kfacility $3,388professional $380

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
$295.12
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$660.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$5,754.40
Typical High
$9,549.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$398.11
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$457.09
Typical High
$758.58
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
$2,511.89
Median
$10,715.19
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$676.08

Where South Carolina 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

South Carolina· 20th of 50

$3,769

$380 physician + $3,388 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.