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Collarbone Joint Biopsy, Open

Montana 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?

$1,519

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

Insurers have agreed to pay about $1,519 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $794 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$724$603 to $794
Facility feeThe hospital or surgery center$794$759 to $832

How much rates vary

Facilitymedian $794 · 10th to 90th $603 to $9,120Professionalmedian $724 · 10th to 90th $427 to $1,023
$100$1K$10K$100Kfacility $794professional $724

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
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$616.60
Typical High
$776.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$954.99
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$794.33
Typical High
$954.99
Providence
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$870.96

Where Montana 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

Montana· 46th of 50

$1,519

$724 physician + $794 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.