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Draining Bone Infection At The Shoulder Or Arm

Pennsylvania rates for HCPCS 23035

Cuts through the hard outer shell of the bone at the shoulder or upper arm to reach and drain infection or an abscess inside it. Infected fluid and dead bone are cleared and washed out, and samples are taken to identify the organism. Antibiotics are continued for weeks afterwards.

Rates data updated July 2026.

How much does Draining Bone Infection At The Shoulder Or Arm cost?

$4,169

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $2,570 to $6,166.

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.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,023 to $8,318
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $4,169

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
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,949.84
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,311.31
Typical High
$5,623.41

Where Pennsylvania sits

The same service costs 11.5 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $4,169 · 13th of 50
IN $7,762WV $676

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.