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Texas rates for HCPCS 23101

Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage

Facilitymedian $3,981 · 10th–90th $759$13,4900%5%10th90th$3,981Professionalmedian $490 · 10th–90th $407$8510%20%10th90th$490$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $4,265.80 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $489.78 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,466.84 / $8,709.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $537.03 / $724.44
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $426.58 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $776.25 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $602.56 / $954.99
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $33,884.42 / $33,884.42
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $5,370.32
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $426.58
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $588.84 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $4,786.30 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $489.78 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $436.52 / $457.09