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Removal Of A Benign Upper-Arm Bone Tumor With Graft

Indiana rates for HCPCS 23155

This surgery removes a benign, noncancerous cyst or tumor from the upper end of the upper-arm bone (humerus), near the shoulder, by scraping or cutting the growth out of the bone. The resulting space is then filled with bone graft material to support healing and help the bone regain strength. It is used to treat a bone growth that is causing pain, weakening the bone, or otherwise needs to be addressed.

Rates data updated July 2026.

How much does Removal Of A Benign Upper-Arm Bone Tumor With Graft cost?

$1,000

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $22,387 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$794$724 to $955
FacilityA hospital or hospital-owned outpatient department$22,387$8,128 to $30,903

How much rates vary

Facilitymedian $22,387 · 10th to 90th $2,239 to $35,481Professionalmedian $794 · 10th to 90th $661 to $1,259
$1K$2K$5K$10K$20K$50Kfacility $22,387professional $794

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
$1,174.90
Median
$4,897.79
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$776.25
Typical High
$1,258.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$26,302.68
Typical High
$38,904.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$1,174.90
CareSource
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$794.33
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,202.26
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,413.10
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,479.11

Where Indiana sits

The same service costs 8.7 times more in California than in Delaware. 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.

Indiana· 37th of 51

$1,000

CA $6,918DE $794

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.