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Biopsy of the Joint at the Base of a Toe

Utah 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?

$4,172

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

Insurers have agreed to pay about $4,172 for this procedure. That total is two separate charges: $457 to the doctor who performs it, and $3,715 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$457$363 to $794
Facility feeThe hospital or surgery center$3,715$2,455 to $4,571

How much rates vary

Facilitymedian $3,715 · 10th to 90th $398 to $6,026Professionalmedian $457 · 10th to 90th $240 to $1,479
$50$200$1K$5Kfacility $3,715professional $457

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
$398.11
Median
$3,388.44
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$537.03
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$851.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$870.96
Select Health
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Select Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$457.09
Typical High
$758.58
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$524.81
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$5,128.61
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$398.11
Typical High
$645.65

Where Utah 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

Utah· 14th of 50

$4,172

$457 physician + $3,715 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.