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Shoulder Tumor Removal With Bone Graft

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $912 from a physician practice, and about $3,388 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 6 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$912$692 to $1,259
FacilityA hospital or hospital-owned outpatient department$3,388$1,622 to $6,918

How much rates vary

Facilitymedian $3,388 · 10th to 90th $977 to $10,471Professionalmedian $912 · 10th to 90th $617 to $1,738
$200$500$1K$2K$5K$10K$20Kfacility $3,388professional $912

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
$831.76
Median
$2,754.23
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$707.95
Typical High
$1,698.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$10,471.29
Typical High
$15,135.61
BCBS
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,122.02
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$977.24
Typical High
$1,445.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$3,019.95
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$870.96
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$75.86
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$6,025.60
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,445.44

Where Illinois sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 21st of 51

$1,122

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.