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Shoulder Tumor Removal With Bone Graft

Washington, DC 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?

$1,000

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $1,000 for this service. Most negotiated rates run $724 to $4,786.

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.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $724 to $7,762Professionalmedian $724 · 10th to 90th $676 to $1,479
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,495professional $724

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
$724.44
Median
$5,495.41
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$724.44
Typical High
$1,000.00
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$4,365.16
Typical High
$9,120.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,905.46
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,412.54
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$14,791.08
Typical High
$38,018.94
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$977.24
Typical High
$1,905.46

Where Washington, DC 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.

Washington, DC $1,000 · 28th 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.