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Shoulder Tumor Removal With Bone Graft

Montana 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?

$1,096

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,096 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $1,175 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$955$724 to $1,175
FacilityA hospital or hospital-owned outpatient department$1,175$1,122 to $1,202

How much rates vary

Facilitymedian $1,175 · 10th to 90th $891 to $1,413Professionalmedian $955 · 10th to 90th $617 to $1,622
$100.0$500.0$2.0K$10.0Kfacility $1,175professional $955

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
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$3,715.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$933.25
Typical High
$1,148.15
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,412.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,412.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$977.24
Typical High
$1,412.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$933.25
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,122.02
Typical High
$1,288.25

Where Montana 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.

Montana $1,096 · 22nd 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.