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Opening The Elbow Joint To Explore Or Clear It

South Dakota rates for HCPCS 24101

Opens the elbow joint through an incision so the surgeon can look inside, take a tissue sample if needed, and remove a loose fragment of cartilage or bone or a foreign object caught in the joint. It is used for an elbow that locks, catches, or has unexplained pain and swelling.

Rates data updated October 2026.

How much does Opening The Elbow Joint To Explore Or Clear It cost?

$3,042

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

Insurers have agreed to pay about $3,042 for this procedure. That total is two separate charges: $1,047 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$1,047$776 to $1,230
Facility feeThe hospital or surgery center$1,995$871 to $2,138

How much rates vary

Facilitymedian $1,995 · 10th to 90th $724 to $2,399Professionalmedian $1,047 · 10th to 90th $513 to $1,380
$500$1K$2K$5Kfacility $1,995professional $1,047

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
$501.19
Median
$501.19
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$501.19
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$1,905.46
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$1,174.90
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$1,122.02
Typical High
$4,897.79
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,096.48
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$812.83
Typical High
$1,000.00
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
$478.63
Median
$977.24
Typical High
$1,380.38
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$1,230.27

Where South Dakota sits

The same service costs 4.6 times more in Oklahoma 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· 29th of 51

$3,042

$1,047 physician + $1,995 facility

OK $7,521MT $1,645

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.