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Removal Of A Benign Upper-Arm Bone Tumor With Graft

Maine 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?

$933

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $933 for this service. Most negotiated rates run $813 to $1,175.

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 $14,791 · 10th to 90th $14,791 to $14,791Professionalmedian $933 · 10th to 90th $724 to $1,549
$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $14,791professional $933

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
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,819.70
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$2,089.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$831.76
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,698.24

Where Maine sits

The same service costs 8.7 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $933 · 42nd of 51
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.