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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.

Facilitymedian $363 · 10th–90th $245$1,5850%20%10th90th$363Professionalmedian $347 · 10th–90th $234$5620%10%20%10th90th$347$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
$245.47
Median
$363.08
Typical High
$1,584.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
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
$436.52
Median
$436.52
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$436.52
Typical High
$2,818.38
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
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