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Shoulder Tumor Removal With Bone Graft

Connecticut 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?

$1,175

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $1,175 for this service. The price depends on where it is billed: about $977 from a physician practice, and about $8,511 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 6 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$977$676 to $1,585
FacilityA hospital or hospital-owned outpatient department$8,511$6,607 to $12,589

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,898 to $16,218Professionalmedian $977 · 10th to 90th $603 to $2,239
$1K$2K$5K$10K$20Kfacility $8,511professional $977

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
$4,570.88
Median
$7,943.28
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$2,344.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$17,378.01
Typical High
$26,915.35
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,380.38
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$1,819.70
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,318.26
Health New England
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$8,709.64
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,819.70

Where Connecticut sits

The same service costs 9.8 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.

Connecticut· 15th of 51

$1,175

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.