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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.

Facilitymedian $3,236 · 10th–90th $724$10,9650%5%10%10th90th$3,236Professionalmedian $851 · 10th–90th $631$1,9500%10%20%10th90th$851$500.0$1.0K$2.0K$5.0K$10.0K$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
$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