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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.

Facilitymedian $479 · 10th–90th $257$4,3650%10%20%10th90th$479Professionalmedian $457 · 10th–90th $257$8710%5%10%10th90th$457$200.0$500.0$1.0K$2.0K$5.0K

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
$257.04
Median
$398.11
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$363.08
Typical High
$616.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
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
$426.58
Median
$562.34
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
$912.01