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Opening The Shoulder Joint For Drainage

New York 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?

$4,898

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $3,090 to $7,762.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,000 to $11,482
$1K$2K$5K$10K$20Kfacility $4,898

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
$912.01
Median
$4,570.88
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,995.26
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,047.13
Typical High
$2,630.27
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,897.79
Typical High
$10,471.29
Univera
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$870.96
Typical High
$3,235.94

Where New York 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.

New York· 11th of 50

$4,898

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.