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Shoulder Tumor Removal With Bone Graft

Michigan 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?

$871

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $5,754 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$851$661 to $1,072
FacilityA hospital or hospital-owned outpatient department$5,754$4,898 to $5,754

How much rates vary

Facilitymedian $5,754 · 10th to 90th $1,000 to $8,128Professionalmedian $851 · 10th to 90th $603 to $1,479
$100.0$500.0$2.0K$10.0Kfacility $5,754professional $851

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
$870.96
Median
$5,754.40
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$912.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,479.11
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$2,290.87
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,897.79
Typical High
$6,918.31
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,585.78
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$794.33
Typical High
$1,096.48

Where Michigan 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.

Michigan $871 · 37th 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.