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Biopsy of the Joint at the Base of a Toe

South Dakota 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?

$1,168

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

Insurers have agreed to pay about $1,168 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $631 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$380 to $759
Facility feeThe hospital or surgery center$631$437 to $1,000

How much rates vary

Facilitymedian $631 · 10th to 90th $372 to $3,090Professionalmedian $537 · 10th to 90th $257 to $933
$200$500$1K$2K$5Kfacility $631professional $537

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
$288.40
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$398.11
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,148.15
Medica
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$575.44
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$977.24
Typical High
$2,884.03
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$660.69
Typical High
$1,023.29
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$1,023.29
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$1,122.02
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$616.60
Typical High
$977.24

Where South Dakota 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 Dakota· 44th of 50

$1,168

$537 physician + $631 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.