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Elbow Joint Opening With Lining Biopsy

Vermont rates for HCPCS 24100

This service surgically opens the elbow joint to take a small tissue sample of the joint lining, called the synovium, for laboratory examination. It is limited to obtaining this biopsy sample, without additional joint exploration or treatment. The procedure helps diagnose conditions affecting the joint lining, such as certain forms of inflammation.

Rates data updated October 2026.

How much does Elbow Joint Opening With Lining Biopsy cost?

$676

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $676 for this service. Most negotiated rates run $501 to $776.

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.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $309 to $3,631Professionalmedian $617 · 10th to 90th $490 to $871
$200$500$1K$2Kfacility $1,698professional $617

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
Professional
Modifier
None
Typical Low
$489.78
Median
$489.78
Typical High
$501.19
Cigna
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$309.03
Typical High
$3,630.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$457.09
Median
$776.25
Typical High
$776.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$575.44
Typical High
$707.95
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$588.84
Typical High
$1,000.00

Where Vermont sits

The same service costs 8.3 times more in Alaska than in Texas. 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.

Vermont· 19th of 51

$676

AK $1,738TX $209

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.