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Collarbone Joint Biopsy, Open

South 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?

$9,645

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

Insurers have agreed to pay about $9,645 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $9,120 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$525$447 to $589
Facility feeThe hospital or surgery center$9,120$1,000 to $14,125

How much rates vary

Facilitymedian $9,120 · 10th to 90th $525 to $21,878Professionalmedian $525 · 10th to 90th $398 to $912
$50$200$1K$5K$20Kfacility $9,120professional $525

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
$524.81
Median
$12,882.50
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$524.81
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,585.78
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,737.80
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$1,023.29
Medcost
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$616.60
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$12,589.25
Typical High
$21,877.62
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$794.33

Where South 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

South Carolina· 7th of 50

$9,645

$525 physician + $9,120 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.