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Collarbone Joint Biopsy, Open

Pennsylvania 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?

$6,645

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

Insurers have agreed to pay about $6,645 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $6,166 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$479$447 to $589
Facility feeThe hospital or surgery center$6,166$3,802 to $8,318

How much rates vary

Facilitymedian $6,166 · 10th to 90th $1,413 to $10,965Professionalmedian $479 · 10th to 90th $417 to $759
$500$1K$2K$5K$10Kfacility $6,166professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$7,244.36
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$467.74
Typical High
$691.83
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$489.78
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$933.25
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$912.01
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$912.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$5,495.41
Typical High
$11,220.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$2,570.40
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$630.96
Typical High
$660.69
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,801.89
Typical High
$6,606.93
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$446.68
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$912.01

Where Pennsylvania 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

Pennsylvania· 16th of 50

$6,645

$479 physician + $6,166 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.