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Shoulder Tumor Removal With Bone Graft

Maryland 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?

$724

Typical negotiated rate. In Maryland, July 2026.

Insurers have agreed to pay about $724 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $4,074 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$724$676 to $891
FacilityA hospital or hospital-owned outpatient department$4,074$724 to $5,012

How much rates vary

Facilitymedian $4,074 · 10th to 90th $646 to $5,012Professionalmedian $724 · 10th to 90th $617 to $1,778
$500.0$1.0K$2.0K$5.0K$10.0Kfacility $4,074professional $724

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$707.95
Typical High
$1,778.28
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$724.44
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$776.25
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$851.14
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,479.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,047.13

Where Maryland 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.

Maryland $724 · 49th 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.