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Biopsy of the Joint at the Base of a Toe

Vermont 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.

Professionalmedian $457 · 10th–90th $245$9770%5%10%10th90th$457$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
Professional
Modifier
Global
Typical Low
$245.47
Median
$457.09
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$489.78
Typical High
$794.33
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$524.81
Typical High
$1,071.52