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Collarbone Joint Biopsy, Open

Utah 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?

$5,760

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

Insurers have agreed to pay about $5,760 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $5,129 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$631$447 to $933
Facility feeThe hospital or surgery center$5,129$3,388 to $9,333

How much rates vary

Facilitymedian $5,129 · 10th to 90th $631 to $10,233Professionalmedian $631 · 10th to 90th $427 to $2,570
$50$200$1K$5Kfacility $5,129professional $631

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
$630.96
Median
$4,570.88
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$630.96
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$870.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$707.95
Typical High
$1,071.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$870.96
Select Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$794.33
Typical High
$912.01
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$776.25

Where Utah 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

Utah· 19th of 50

$5,760

$631 physician + $5,129 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.