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Opening The Shoulder Joint For Drainage

South Dakota rates for HCPCS 23040

Opens the main ball-and-socket joint of the shoulder through an incision so the surgeon can look inside, wash out infected fluid, or take out a loose fragment or foreign object. It is most often done urgently for an infected joint.

Rates data updated July 2026.

How much does Opening The Shoulder Joint For Drainage cost?

$1,230

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $1,000 to $1,413.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $871 to $4,365Professionalmedian $1,202 · 10th to 90th $813 to $1,549
$1K$2K$5Kfacility $1,259professional $1,202

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$3,548.13
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,202.26
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,621.81
Typical High
$1,621.81
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,412.54
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$6,760.83

Where South Dakota sits

The same service costs 14.5 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.

South Dakota· 45th of 50

$1,230

IN $10,233WV $708

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.