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Shoulder Tumor Removal With Bone Graft

Colorado rates for HCPCS 23156

This removes a tumor from the upper end of the arm bone near the shoulder, along with the affected bone, and rebuilds the missing section using a piece of donor bone (an allograft) rather than the patient's own tissue. It's used when a tumor has damaged enough bone that reconstruction is needed to restore the arm's structure and function. This is a more involved reconstruction than simply scraping out the tumor and leaving the bone otherwise intact.

Rates data updated July 2026.

How much does Shoulder Tumor Removal With Bone Graft cost?

$1,318

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $13,490 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 7 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$708$692 to $1,047
FacilityA hospital or hospital-owned outpatient department$13,490$3,802 to $20,893

How much rates vary

Facilitymedian $13,490 · 10th to 90th $955 to $35,481Professionalmedian $708 · 10th to 90th $646 to $1,778
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $13,490professional $708

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
$2,754.23
Median
$5,495.41
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$691.83
Typical High
$2,344.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$38,904.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,621.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$5,011.87
Typical High
$15,848.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$933.25
Typical High
$1,479.11
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$891.25
Typical High
$1,380.38
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$2,630.27
Select Health
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,202.26
Typical High
$1,380.38
Select Health
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$6,918.31
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$891.25
Typical High
$1,621.81

Where Colorado sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Colorado $1,318 · 9th of 51
CA $6,607DE $676

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.