go back

Biopsy of the Joint at the Base of a Toe

Virginia 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?

$1,074

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

Insurers have agreed to pay about $1,074 for this procedure. That total is two separate charges: $398 to the doctor who performs it, and $676 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$398$316 to $501
Facility feeThe hospital or surgery center$676$372 to $5,129

How much rates vary

Facilitymedian $676 · 10th to 90th $295 to $7,244Professionalmedian $398 · 10th to 90th $251 to $851
$200$500$1K$2K$5K$10Kfacility $676professional $398

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
$316.23
Median
$3,235.94
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$389.05
Typical High
$1,445.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$630.96
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$562.34
Medcost
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$575.44
Typical High
$1,047.13
Medcost
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$426.58
Typical High
$691.83
Medcost
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Sentara
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$7,413.10
Sentara
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$6,309.57
Typical High
$13,489.63
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$416.87
Typical High
$741.31

Where Virginia 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

Virginia· 46th of 50

$1,074

$398 physician + $676 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.