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Biopsy of the Joint at the Base of a Toe

Wisconsin 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 $6,918 · 10th–90th $537$11,4820%10%10th90th$6,918Professionalmedian $457 · 10th–90th $251$1,3800%10%10th90th$457$50.0$200.0$1.0K$5.0K

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
$251.19
Median
$537.03
Typical High
$3,090.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$371.54
Typical High
$812.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$12,589.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$588.84
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,230.27
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$912.01
Typical High
$1,659.59
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$537.03
Typical High
$4,897.79
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$724.44
Typical High
$1,071.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$549.54
Typical High
$7,943.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$870.96
Typical High
$2,884.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$371.54
Network Health
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$5,754.40
Typical High
$7,762.47
Network Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$891.25
Typical High
$1,348.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,258.93
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,025.60
Typical High
$8,912.51
Quartz
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$2,187.76
Typical High
$2,818.38
Security Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,288.25
Security Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,659.59
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$7,585.78
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$562.34
Typical High
$1,584.89