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Opening The Shoulder Joint For Drainage

North Carolina 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?

$1,288

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,288 for this service. Most negotiated rates run $912 to $6,607.

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 $1,288 · 10th to 90th $708 to $11,482Professionalmedian $1,202 · 10th to 90th $1,202 to $1,660
$1K$2K$5K$10Kfacility $1,288professional $1,202

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
$707.95
Median
$2,454.71
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,174.90
Typical High
$2,818.38
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,659.59
Medcost
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$954.99
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$8,709.64
Typical High
$14,791.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$45,708.82
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$933.25
Median
$933.25
Typical High
$933.25

Where North Carolina 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.

North Carolina· 44th of 50

$1,288

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.