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Removal Of A Benign Upper-Arm Bone Tumor With Graft

Montana 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?

$1,318

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,122 from a physician practice, and about $1,380 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$1,122$955 to $1,413
FacilityA hospital or hospital-owned outpatient department$1,380$1,318 to $1,413

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,047 to $1,622Professionalmedian $1,122 · 10th to 90th $741 to $2,138
$100.0$500.0$2.0K$10.0Kfacility $1,380professional $1,122

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
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,122.02
Typical High
$4,365.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,096.48
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,621.81
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,380.38
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,122.02
Typical High
$1,659.59
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,071.52
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,288.25
Typical High
$1,513.56

Where Montana 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.

Montana $1,318 · 17th 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.