go back

Shoulder Tumor Removal With Bone Graft

Georgia 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?

$1,148

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $5,370 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$871$692 to $1,230
FacilityA hospital or hospital-owned outpatient department$5,370$2,818 to $8,511

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,380 to $11,749Professionalmedian $871 · 10th to 90th $617 to $1,622
$100.0$500.0$2.0K$10.0Kfacility $5,370professional $871

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
$1,096.48
Median
$5,370.32
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$12,882.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,023.29
Typical High
$1,513.56
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,786.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,778.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$933.25
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$5,248.07
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$891.25
Typical High
$1,548.82

Where Georgia 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.

Georgia $1,148 · 18th 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.