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Shoulder Tumor Removal With Bone Graft

Texas 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.

Facilitymedian $4,169 · 10th–90th $871$15,1360%5%10th90th$4,169Professionalmedian $741 · 10th–90th $603$1,2300%20%10th90th$741$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$1,202.26
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$9,549.93
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$776.25
Typical High
$1,071.52
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$630.96
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$912.01
Typical High
$1,412.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$42,657.95
Typical High
$42,657.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,888.44
Typical High
$5,888.44
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,479.11
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$977.24
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$87.10
Typical High
$588.84
Providence
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$870.96
Typical High
$1,479.11
Providence
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$912.01
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,248.07
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$1,122.02
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$851.14