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Biopsy of the Joint at the Base of a Toe

Tennessee 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?

$3,099

Typical total for the visit. In Tennessee, July 2026.

Insurers have agreed to pay about $3,099 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $2,692 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$339 to $562
Facility feeThe hospital or surgery center$2,692$1,820 to $4,074

How much rates vary

Facilitymedian $2,692 · 10th to 90th $759 to $6,607Professionalmedian $407 · 10th to 90th $251 to $794
$100.0$1.0K$10.0Kfacility $2,692professional $407

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
$616.60
Median
$1,905.46
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$691.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,168.69
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$758.58
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$28,840.32
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,235.94
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,467.37
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$776.25

Where Tennessee sits

The same service costs 13.7 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeTennessee $3,099 · 27th of 50
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.