go back

Shoulder Tumor Removal With Bone Graft

Missouri 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?

$1,479

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $794 from a physician practice, and about $4,266 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$794$708 to $1,072
FacilityA hospital or hospital-owned outpatient department$4,266$2,692 to $5,623

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,479 to $8,511Professionalmedian $794 · 10th to 90th $631 to $3,715
$200.0$1.0K$5.0K$20.0Kfacility $4,266professional $794

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
$1,479.11
Median
$4,168.69
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$758.58
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$776.25
Typical High
$1,047.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$891.25
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,148.15
Typical High
$22,387.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,715.35
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$812.83
Typical High
$1,288.25

Where Missouri 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.

Missouri $1,479 · 7th 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.