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Shoulder Tumor Removal With Bone Graft

Iowa 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 Iowa, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $1,072 from a physician practice, and about $5,495 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$1,072$692 to $1,549
FacilityA hospital or hospital-owned outpatient department$5,495$4,266 to $7,943

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,096 to $13,490Professionalmedian $1,072 · 10th to 90th $617 to $4,074
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,495professional $1,072

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
$1,071.52
Median
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,584.89
Typical High
$1,995.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,819.70
Typical High
$17,782.79
Medica
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,318.26
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,548.82
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$9,772.37
Typical High
$19,054.61
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,905.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,584.89

Where Iowa 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.

Iowa $1,148 · 17th 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.