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Collarbone Joint Biopsy, Open

South Dakota 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 October 2026.

How much does Collarbone Joint Biopsy, Open cost?

$2,950

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $2,950 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $1,995 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$724 to $1,122
Facility feeThe hospital or surgery center$1,995$794 to $2,138

How much rates vary

Facilitymedian $1,995 · 10th to 90th $661 to $2,399Professionalmedian $955 · 10th to 90th $479 to $1,259
$500$1K$2K$5Kfacility $1,995professional $955

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$4,365.16
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$467.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$1,949.84
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,023.29
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,071.52
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$1,023.29
Typical High
$3,801.89
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$977.24
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$724.44
Typical High
$912.01
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$870.96
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$954.99
Typical High
$1,122.02

Where South Dakota sits

The same service costs 5.1 times more in Washington, DC than in Montana. 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 Dakota· 31st of 51

$2,950

$955 physician + $1,995 facility

DC $7,757MT $1,518

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.