go back

Shoulder Tumor Removal With Bone Graft

Florida 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?

$776

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $7,586 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$692$603 to $851
FacilityA hospital or hospital-owned outpatient department$7,586$3,020 to $11,482

How much rates vary

Facilitymedian $7,586 · 10th to 90th $1,202 to $14,791Professionalmedian $692 · 10th to 90th $562 to $1,230
$100.0$1.0K$10.0Kfacility $7,586professional $692

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
$1,047.13
Median
$6,025.60
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$1,230.27
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$4,897.79
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$707.95
Typical High
$794.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$3,467.37
Typical High
$4,168.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$851.14
Typical High
$1,412.54
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$524.81
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$7,943.28
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$724.44
Typical High
$1,412.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$707.95

Where Florida 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.

Florida $776 · 46th 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.