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Collarbone Joint Biopsy, Open

North Carolina 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?

$1,894

Typical total for the visit. In North Carolina, July 2026.

Insurers have agreed to pay about $1,894 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $1,202 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$692$479 to $871
Facility feeThe hospital or surgery center$1,202$603 to $7,586

How much rates vary

Facilitymedian $1,202 · 10th to 90th $447 to $14,125Professionalmedian $692 · 10th to 90th $447 to $1,288
$500$1K$2K$5K$10Kfacility $1,202professional $692

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
$446.68
Median
$2,630.27
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$489.78
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,288.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,174.90
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,023.29
Medcost
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,071.52
Medcost
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$8,709.64
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$954.99
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$33,884.42
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07

Where North Carolina 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

North Carolina· 42nd of 50

$1,894

$692 physician + $1,202 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.