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Shaving the Bony Roof of the Shoulder

South Dakota rates for HCPCS 23130

Through an incision, the underside of the acromion — the bony shelf forming the roof of the shoulder — is shaved down to create more space beneath it. This relieves pinching of the rotator cuff tendons that occurs when the arm is lifted. The ligament running from that shelf may be released during the same operation.

Rates data updated July 2026.

How much does Shaving the Bony Roof of the Shoulder cost?

$1,047

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,047 for this service. Most negotiated rates run $851 to $1,230.

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 $1,072 · 10th to 90th $724 to $4,898Professionalmedian $1,047 · 10th to 90th $692 to $1,349
$1K$2K$5Kfacility $1,072professional $1,047

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
$616.60
Median
$4,365.16
Typical High
$4,897.79
Avera
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,258.93
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,023.29
Typical High
$1,584.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,380.38
Typical High
$1,380.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$6,760.83

Where South Dakota sits

The same service costs 17.8 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.

South Dakota· 47th of 50

$1,047

IN $10,715WV $603

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.