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Biopsy of the Joint at the Base of a Toe

Washington 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 $759 · 10th–90th $380$10,7150%10%10th90th$759Professionalmedian $490 · 10th–90th $257$9770%10%10th90th$490$20.0$100.0$500.0$2.0K$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
$562.34
Median
$3,019.95
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$891.25
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$8,709.64
Typical High
$17,378.01
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$758.58
Typical High
$4,466.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$562.34
Typical High
$1,047.13
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$616.60
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$616.60
Typical High
$1,288.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$229.09
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$851.14
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$537.03
Typical High
$977.24
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$549.54
Typical High
$954.99
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$8,912.51
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$616.60
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$10,232.93
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$537.03
Typical High
$954.99
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$549.54