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Collarbone Joint Biopsy, Open

Ohio 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?

$7,926

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

Insurers have agreed to pay about $7,926 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $7,413 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$447 to $692
Facility feeThe hospital or surgery center$7,413$3,388 to $10,715

How much rates vary

Facilitymedian $7,413 · 10th to 90th $1,479 to $12,589Professionalmedian $513 · 10th to 90th $407 to $1,585
$50$200$1K$5Kfacility $7,413professional $513

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
$851.14
Median
$8,912.51
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,715.35
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$891.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$933.25
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$602.56
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,495.41
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$812.83

Where Ohio 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

Ohio· 10th of 50

$7,926

$513 physician + $7,413 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.