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Shoulder Tumor Removal With Bone Graft

Maine 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?

$813

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $813 for this service. Most negotiated rates run $692 to $1,000.

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.

How much rates vary

Facilitymedian $14,791 · 10th to 90th $14,791 to $14,791Professionalmedian $813 · 10th to 90th $631 to $1,318
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $14,791professional $813

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
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,000.00
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,548.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,819.70
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$724.44
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,445.44

Where Maine 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.

Maine $813 · 40th 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.