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Removal Of Inflamed Lining From The Shoulder

South Dakota rates for HCPCS 23105

Opens the main shoulder joint through an incision and removes the inflamed lining that is causing pain, swelling, and damage inside the joint. A sample of the tissue may be taken at the same time for examination.

Rates data updated October 2026.

How much does Removal Of Inflamed Lining From The Shoulder cost?

$3,314

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

Insurers have agreed to pay about $3,314 for this procedure. That total is two separate charges: $1,318 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$1,318$1,072 to $1,549
Facility feeThe hospital or surgery center$1,995$1,122 to $2,138

How much rates vary

Facilitymedian $1,995 · 10th to 90th $912 to $4,074Professionalmedian $1,318 · 10th to 90th $692 to $1,738
$1K$2K$5Kfacility $1,995professional $1,318

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
$630.96
Median
$630.96
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$537.03
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$2,137.96
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$1,479.11
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$1,445.44
Typical High
$6,456.54
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,380.38
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,288.25
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
$616.60
Median
$1,230.27
Typical High
$1,737.80
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,318.26
Typical High
$1,548.82

Where South Dakota sits

The same service costs 5.8 times more in Colorado 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· 38th of 51

$3,314

$1,318 physician + $1,995 facility

CO $12,111MT $2,070

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.