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Shoulder Tumor Removal With Bone Graft

Idaho 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?

$1,122

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $3,890 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 8 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$1,096$724 to $1,318
FacilityA hospital or hospital-owned outpatient department$3,890$1,148 to $9,333

How much rates vary

Facilitymedian $3,890 · 10th to 90th $724 to $17,378Professionalmedian $1,096 · 10th to 90th $617 to $1,380
$50.0$200.0$1.0K$5.0K$20.0Kfacility $3,890professional $1,096

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
$4,365.16
Median
$4,466.84
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$870.96
Typical High
$1,380.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$6,456.54
Typical High
$18,620.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,288.25
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$891.25
Typical High
$1,174.90
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,000.00
Typical High
$1,659.59
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,230.27
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$16,218.10
Typical High
$23,442.29
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,318.26
Typical High
$1,905.46
Select Health
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$5,370.32
Typical High
$11,220.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,047.13
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$14,791.08
Typical High
$18,197.01
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$1,380.38

Where Idaho 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.

Idaho $1,122 · 20th 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.