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Collarbone Joint Biopsy, Open

New York 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?

$5,666

Typical total for the visit. In New York, July 2026.

Insurers have agreed to pay about $5,666 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $5,129 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$447 to $794
Facility feeThe hospital or surgery center$5,129$3,162 to $8,710

How much rates vary

Facilitymedian $5,129 · 10th to 90th $692 to $12,882Professionalmedian $537 · 10th to 90th $398 to $1,413
$500$1K$2K$5K$10K$20Kfacility $5,129professional $537

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
$588.84
Median
$5,128.61
Typical High
$14,125.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$512.86
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$457.09
Typical High
$1,148.15
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$3,467.37
Typical High
$13,489.63
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$2,137.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$691.83
Typical High
$1,737.80
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$1,096.48
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$616.60
Typical High
$977.24
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$630.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$2,137.96
Univera
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$1,778.28
Univera
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$562.34
Typical High
$1,202.26

Where New York 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

New York· 21st of 50

$5,666

$537 physician + $5,129 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.