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Opening The Shoulder Joint For Drainage

Iowa 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?

$3,631

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $3,631 for this service. Most negotiated rates run $1,585 to $6,457.

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 $4,898 · 10th to 90th $1,122 to $8,913Professionalmedian $1,318 · 10th to 90th $676 to $2,455
$200$500$1K$2K$5K$10Kfacility $4,898professional $1,318

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
$1,122.02
Median
$4,897.79
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,905.46
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,621.81
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,079.46
Typical High
$8,912.51

Where Iowa 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.

Iowa· 24th of 50

$3,631

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.