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Collarbone Joint Biopsy, Open

Maryland 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?

$479

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $479 for this service. Most negotiated rates run $447 to $513.

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.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $589 to $2,291Professionalmedian $479 · 10th to 90th $417 to $759
$500.0$1.0K$2.0K$5.0Kfacility $1,000professional $479

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
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$512.86
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$616.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$851.14
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$562.34
Typical High
$724.44

Where Maryland sits

The same service costs 17.4 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maryland $479 · 49th of 51
CA $7,943DE $457

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.