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Biopsy of the Joint at the Base of a Toe

Texas 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 $2,818 · 10th–90th $407$8,1280%5%10th90th$2,818Professionalmedian $372 · 10th–90th $245$6170%10%10th90th$372$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
$707.95
Median
$2,951.21
Typical High
$7,413.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,365.16
Typical High
$8,317.64
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$354.81
Typical High
$512.86
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$239.88
Typical High
$239.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$457.09
Typical High
$776.25
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$28,840.32
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$478.63
Typical High
$2,754.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$234.42
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$380.19
Typical High
$616.60
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$389.05