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Opening The Shoulder Joint For Drainage

Nebraska 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?

$7,586

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $7,586 for this service. Most negotiated rates run $4,365 to $10,000.

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 $7,943 · 10th to 90th $1,202 to $14,454Professionalmedian $1,622 · 10th to 90th $1,380 to $2,239
$1K$2K$5K$10K$20Kfacility $7,943professional $1,622

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
$5,754.40
Median
$8,511.38
Typical High
$14,454.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$9,549.93
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$1,174.90
Typical High
$8,709.64
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$186.21
Median
$851.14
Typical High
$851.14
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$2,238.72
Midlands
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$4,677.35
Typical High
$7,585.78

Where Nebraska 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.

Nebraska· 3rd of 50

$7,586

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.