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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.

Facilitymedian $912 · 10th–90th $295$7,4130%5%10th90th$912Professionalmedian $398 · 10th–90th $245$7240%10%10th90th$398$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$316.23
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$380.19
Typical High
$724.44
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
$281.84
Median
$371.54
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
$776.25
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
$3,630.78
Median
$6,165.95
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$416.87
Typical High
$741.31