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Shoulder Tumor Removal With Bone Graft

North Dakota 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?

$1,318

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $676 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$1,349$676 to $1,585
FacilityA hospital or hospital-owned outpatient department$676$676 to $1,148

How much rates vary

Facilitymedian $676 · 10th to 90th $676 to $8,511Professionalmedian $1,349 · 10th to 90th $617 to $1,778
$1K$2K$5K$10Kfacility $676professional $1,349

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
$676.08
Median
$676.08
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$1,819.70
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,288.25
Typical High
$2,137.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$977.24
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,202.26
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$5,128.61
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,174.90
Typical High
$1,698.24

Where North Dakota sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Dakota· 10th of 51

$1,318

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.