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Biopsy Of A Knuckle Joint Through An Incision

South Dakota rates for HCPCS 26105

This procedure opens a knuckle joint — the joint where a finger meets the hand, not one of the joints farther out between the finger bones — through a small incision so a tissue sample can be taken directly from inside the joint. It is used to investigate unexplained joint swelling, pain, or a suspected growth when imaging or fluid sampling alone has not given a clear answer. The joint is then closed and typically splinted briefly afterward.

Rates data updated July 2026.

How much does Biopsy Of A Knuckle Joint Through An Incision cost?

$1,191

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

Insurers have agreed to pay about $1,191 for this procedure. That total is two separate charges: $589 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$589$347 to $813
Facility feeThe hospital or surgery center$603$525 to $2,291

How much rates vary

Facilitymedian $603 · 10th to 90th $427 to $4,365Professionalmedian $589 · 10th to 90th $295 to $1,023
$500$1K$2K$5Kfacility $603professional $589

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. 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
Global
Typical Low
$338.84
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$831.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$870.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$776.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$741.31
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$602.56
Typical High
$933.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$741.31
Typical High
$870.96

Where South Dakota sits

The same service costs 13.8 times more in Indiana than in Maryland. 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· 45th of 50

$1,191

$589 physician + $603 facility

IN $9,687MD $702

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.