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Shoulder Tumor Removal With Bone Graft

New Mexico 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?

$759

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $759 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $5,370 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$692$617 to $1,023
FacilityA hospital or hospital-owned outpatient department$5,370$1,000 to $11,482

How much rates vary

Facilitymedian $5,370 · 10th to 90th $794 to $16,596Professionalmedian $692 · 10th to 90th $603 to $2,188
$100.0$1.0K$10.0Kfacility $5,370professional $692

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
$1,000.00
Median
$2,089.30
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$691.83
Typical High
$2,187.76
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$11,481.54
Typical High
$18,197.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$954.99
Typical High
$2,290.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,000.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$891.25
Typical High
$1,380.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$977.24
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$9,549.93
Typical High
$31,622.78
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$1,318.26

Where New Mexico 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 Mexico $759 · 47th 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.