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Collarbone Joint Biopsy, Open

Kentucky rates for HCPCS 23101

An open surgical procedure in which a joint involving the collarbone - either where it meets the shoulder blade or where it meets the breastbone - is opened through an incision to take a tissue sample from inside the joint, rather than the main ball-and-socket shoulder joint. It is used to help diagnose conditions affecting the joint lining or surrounding tissue when a sample of tissue is needed.

Rates data updated July 2026.

How much does Collarbone Joint Biopsy, Open cost?

$5,817

Typical total for the visit. In Kentucky, July 2026.

Insurers have agreed to pay about $5,817 for this procedure. That total is two separate charges: $447 to the doctor who performs it, and $5,370 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$447$407 to $603
Facility feeThe hospital or surgery center$5,370$3,388 to $8,318

How much rates vary

Facilitymedian $5,370 · 10th to 90th $851 to $12,303Professionalmedian $447 · 10th to 90th $380 to $813
$500$1K$2K$5K$10Kfacility $5,370professional $447

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
$478.63
Median
$1,230.27
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$954.99
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$5,495.41
Typical High
$12,302.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$446.68
Typical High
$741.31
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$575.44
Typical High
$741.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$707.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$3,388.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$4,168.69
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$891.25

Where Kentucky sits

The same service costs 14.1 times more in Hawaii 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

Kentucky· 18th of 50

$5,817

$447 physician + $5,370 facility

HI $13,189WV $936

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.