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Shoulder Tumor Removal With Bone Graft

Indiana 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?

$1,023

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $20,893 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$708$631 to $933
FacilityA hospital or hospital-owned outpatient department$20,893$7,762 to $30,903

How much rates vary

Facilitymedian $20,893 · 10th to 90th $2,239 to $35,481Professionalmedian $708 · 10th to 90th $589 to $1,318
$100$500$2K$10K$50Kfacility $20,893professional $708

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
$1,023.29
Median
$4,897.79
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,174.90
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$26,302.68
Typical High
$38,904.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$851.14
Typical High
$1,318.26
CareSource
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$691.83
Typical High
$776.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,621.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$851.14
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,413.10
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$741.31
Typical High
$1,258.93

Where Indiana 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.

Indiana· 27th of 51

$1,023

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.