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Collarbone Joint Biopsy, Open

West Virginia 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?

$936

Typical total for the visit. In West Virginia, July 2026.

Insurers have agreed to pay about $936 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $447 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$490$447 to $513
Facility feeThe hospital or surgery center$447$447 to $1,413

How much rates vary

Facilitymedian $447 · 10th to 90th $447 to $3,631Professionalmedian $490 · 10th to 90th $417 to $661
$500$1K$2K$5K$10Kfacility $447professional $490

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
$446.68
Median
$446.68
Typical High
$3,630.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$512.86
CareSource
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$588.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$3,090.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$9,120.11
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$741.31

Where West Virginia 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

West Virginia· 50th of 50

$936

$490 physician + $447 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.