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Biopsy of a Toe Joint

South Dakota rates for HCPCS 28054

This procedure opens a joint in a toe, between two of the toe bones, through a small incision to obtain a tissue sample from inside the joint. It is used to investigate unexplained swelling, pain, or a suspected growth in that area when other testing has not been conclusive. The joint is closed afterward and the toe is typically protected while it heals.

Rates data updated July 2026.

Facilitymedian $575 · 10th–90th $339$3,0900%10%10th90th$575Professionalmedian $490 · 10th–90th $240$8710%10%10th90th$490$200.0$500.0$1.0K$2.0K$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
$239.88
Median
$3,090.30
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$380.19
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$707.95
Typical High
$1,096.48
Medica
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$537.03
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$851.14
Typical High
$2,754.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$549.54
Typical High
$870.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$891.25
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$512.86
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$512.86
Typical High
$1,023.29
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$912.01