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Shoulder Tumor Removal With Bone Graft

New Jersey 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?

$891

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $724 from a physician practice, and about $8,511 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$724$661 to $1,259
FacilityA hospital or hospital-owned outpatient department$8,511$6,026 to $10,965

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,365 to $13,490Professionalmedian $724 · 10th to 90th $603 to $4,169
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $8,511professional $724

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
$4,365.16
Median
$8,511.38
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$691.83
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$2,187.76
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$812.83
Typical High
$1,122.02
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$23,988.33
Typical High
$36,307.81
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,413.10
Typical High
$15,135.61
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$707.95
Typical High
$1,659.59

Where New Jersey 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.

New Jersey $891 · 33rd 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.