Removal Of Inflamed Lining From The Shoulder

Nationwide rates for HCPCS 23105

Opens the main shoulder joint through an incision and removes the inflamed lining that is causing pain, swelling, and damage inside the joint. A sample of the tissue may be taken at the same time for examination.

Rates data updated July 2026.

How much does Removal Of Inflamed Lining From The Shoulder cost?

$7,143

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,143 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $6,166 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

14% physician fee86% facility fee

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 53 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$977	$724 to $1,445
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,166	$2,692 to $10,965

How much rates vary

Facilitymedian $6,166 · 10th to 90th $977 to $16,596Professionalmedian $977 · 10th to 90th $617 to $2,455

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $954.99 Median $4,677.35 Typical High $12,022.64	Facility	Global	$954.99	$4,677.35	$12,022.64
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $10,232.93 Typical High $22,908.68	Facility	Global	$3,630.78	$10,232.93	$22,908.68
Cigna Setting Facility Modifier Global Typical Low $1,047.13 Median $2,238.72 Typical High $6,309.57	Facility	Global	$1,047.13	$2,238.72	$6,309.57
United Setting Facility Modifier Global Typical Low $1,862.09 Median $5,754.40 Typical High $14,791.08	Facility	Global	$1,862.09	$5,754.40	$14,791.08

What it costs in each state

The same service costs 11.2 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

WI $15,283MD $1,370

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.