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Shoulder Tumor Removal With Bone Graft

South 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?

$1,202

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,202 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $1,175 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 7 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$1,202$692 to $1,549
FacilityA hospital or hospital-owned outpatient department$1,175$1,047 to $4,365

How much rates vary

Facilitymedian $1,175 · 10th to 90th $832 to $4,898Professionalmedian $1,202 · 10th to 90th $575 to $1,995
$1.0K$2.0K$5.0K$10.0Kfacility $1,175professional $1,202

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. Small sample; interpret with caution. 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
$4,365.16
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$676.08
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$1,995.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,737.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,202.26
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,548.82
Typical High
$1,548.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,148.15
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,148.15
Typical High
$1,862.09
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,380.38
Typical High
$1,659.59

Where South Dakota 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 Dakota $1,202 · 14th 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.