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Shoulder Tumor Removal With Bone Graft

New York 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?

$1,148

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $6,918 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 9 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$776$661 to $1,175
FacilityA hospital or hospital-owned outpatient department$6,918$3,631 to $11,482

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,047 to $15,136Professionalmedian $776 · 10th to 90th $603 to $2,042
$100.0$1.0K$10.0Kfacility $6,918professional $776

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
$851.14
Median
$5,128.61
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$1,819.70
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$1,698.24
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$2,630.27
Typical High
$12,302.69
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,071.52
Typical High
$3,090.30
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$2,511.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,047.13
Typical High
$1,621.81
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$912.01
Typical High
$1,445.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$933.25
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,897.79
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$954.99
Typical High
$3,162.28
Univera
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$3,090.30
Univera
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$831.76
Typical High
$1,995.26

Where New York 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 York $1,148 · 19th 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.