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Shoulder Tumor Removal With Bone Graft

Virginia 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?

$955

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $955 for this service. The price depends on where it is billed: about $851 from a physician practice, and about $3,236 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 8 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$851$708 to $1,148
FacilityA hospital or hospital-owned outpatient department$3,236$871 to $7,762

How much rates vary

Facilitymedian $3,236 · 10th to 90th $724 to $10,965Professionalmedian $851 · 10th to 90th $631 to $1,950
$500$1K$2K$5K$10Kfacility $3,236professional $851

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
$933.25
Median
$5,011.87
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$758.58
Typical High
$4,168.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,698.24
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$891.25
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$831.76
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$794.33
Typical High
$933.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,122.02
Typical High
$1,584.89
Medcost
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,318.26
Medcost
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$7,943.28
Sentara
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$1,348.96

Where Virginia 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.

Virginia· 32nd of 51

$955

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.