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Biopsy of the Joint at the Base of a Toe

West 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?

$710

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

Insurers have agreed to pay about $710 for this procedure. That total is two separate charges: $347 to the doctor who performs it, and $363 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$347$263 to $407
Facility feeThe hospital or surgery center$363$245 to $427

How much rates vary

Facilitymedian $363 · 10th to 90th $245 to $1,622Professionalmedian $347 · 10th to 90th $229 to $501
$200$500$1K$2K$5K$10Kfacility $363professional $347

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
$245.47
Median
$363.08
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$501.19
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$323.59
CareSource
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,454.71
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$588.84

Where West 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

West Virginia· 50th of 50

$710

$347 physician + $363 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.