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Surgical Opening Of The Wrist Joint With Sampling

Montana 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 October 2026.

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

$1,165

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,165 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $603 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$389 to $562
Facility feeThe hospital or surgery center$603$589 to $692

How much rates vary

Facilitymedian $603 · 10th to 90th $490 to $2,630Professionalmedian $562 · 10th to 90th $269 to $589
$100$200$500$1K$2K$5Kfacility $603professional $562

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$309.03
Median
$371.54
Typical High
$707.95
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$2,630.27
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$588.84
Typical High
$676.08
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$380.19
Median
$588.84
Typical High
$630.96
Providence
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$2,630.27
Typical High
$7,585.78
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$501.19
Typical High
$562.34
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$575.44
Typical High
$645.65

Where Montana sits

The same service costs 5.6 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

Montana· 51st of 51

$1,165

$562 physician + $603 facility

CO $6,527MT $1,165

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.