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Shoulder Tumor Removal With Bone Graft

Kentucky 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?

$794

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $794 for this service. The price depends on where it is billed: about $676 from a physician practice, and about $4,365 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$676$617 to $871
FacilityA hospital or hospital-owned outpatient department$4,365$2,951 to $8,511

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,122 to $11,482Professionalmedian $676 · 10th to 90th $562 to $1,318
$500$1K$2K$5K$10Kfacility $4,365professional $676

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
$724.44
Median
$1,995.26
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,778.28
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,466.84
Typical High
$12,022.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$676.08
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$851.14
Typical High
$1,202.26
CareSource
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$4,570.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$4,677.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$794.33
Typical High
$1,318.26

Where Kentucky 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.

Kentucky· 42nd of 51

$794

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.