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Opening The Shoulder Joint For Drainage

Georgia rates for HCPCS 23040

Opens the main ball-and-socket joint of the shoulder through an incision so the surgeon can look inside, wash out infected fluid, or take out a loose fragment or foreign object. It is most often done urgently for an infected joint.

Rates data updated July 2026.

How much does Opening The Shoulder Joint For Drainage cost?

$4,266

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $4,266 for this service. Most negotiated rates run $1,995 to $5,888.

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.

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,175 to $7,586Professionalmedian $977 · 10th to 90th $724 to $1,738
$1K$2K$5K$10K$20Kfacility $4,266professional $977

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
$1,174.90
Median
$4,897.79
Typical High
$9,549.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,090.30
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$2,187.76
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,737.80
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,011.87
Typical High
$8,511.38

Where Georgia sits

The same service costs 14.5 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.

Georgia· 15th of 50

$4,266

IN $10,233WV $708

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.