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Shoulder Tumor Removal With Bone Graft

Utah 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?

$1,000

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $955 from a physician practice, and about $6,026 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$955$661 to $1,380
FacilityA hospital or hospital-owned outpatient department$6,026$3,388 to $8,511

How much rates vary

Facilitymedian $6,026 · 10th to 90th $955 to $11,220Professionalmedian $955 · 10th to 90th $631 to $3,715
$50$200$1K$5K$20Kfacility $6,026professional $955

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
$954.99
Median
$4,570.88
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$954.99
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,318.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$14,125.38
Typical High
$21,379.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,659.59
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
Select Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,348.96
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,000.00
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$707.95
Typical High
$1,148.15

Where Utah sits

The same service costs 9.8 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 29th of 51

$1,000

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.