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Shoulder Tumor Removal With Bone Graft

South Carolina 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?

$776

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $776 from a physician practice, and about $8,913 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$776$661 to $871
FacilityA hospital or hospital-owned outpatient department$8,913$1,318 to $12,882

How much rates vary

Facilitymedian $8,913 · 10th to 90th $776 to $21,878Professionalmedian $776 · 10th to 90th $603 to $1,202
$100.0$1.0K$10.0Kfacility $8,913professional $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
$776.25
Median
$12,022.64
Typical High
$22,908.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$7,585.78
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,258.93
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,513.56
Medcost
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$912.01
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$12,589.25
Typical High
$29,512.09
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$707.95
Typical High
$1,174.90

Where South Carolina 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.

South Carolina $776 · 44th 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.