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Surgical Opening Of The Wrist Joint With Sampling

Indiana rates for HCPCS 25100

This procedure opens the wrist joint through an incision so a small tissue sample can be taken directly from inside the joint for laboratory examination. It is used to help diagnose conditions affecting the joint, such as unexplained inflammation or a suspected infection, when a sample taken through the skin alone would not be sufficient. The joint is then closed after the sample is collected.

Rates data updated July 2026.

How much does Surgical Opening Of The Wrist Joint With Sampling cost?

$10,363

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

Insurers have agreed to pay about $10,363 for this procedure. That total is two separate charges: $363 to the doctor who performs it, and $10,000 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$363$331 to $479
Facility feeThe hospital or surgery center$10,000$5,129 to $15,136

How much rates vary

Facilitymedian $10,000 · 10th to 90th $1,660 to $17,783Professionalmedian $363 · 10th to 90th $309 to $692
$500$1K$2K$5K$10K$20Kfacility $10,000professional $363

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
$549.54
Median
$4,897.79
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$338.84
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$11,220.18
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$446.68
Typical High
$691.83
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$354.81
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$2,137.96
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$457.09
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$5,623.41
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$389.05
Typical High
$645.65

Where Indiana sits

The same service costs 14.6 times more in Indiana 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

Indiana· 1st of 50

$10,363

$363 physician + $10,000 facility

IN $10,363WV $710

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.