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Shoulder Tumor Removal With Bone Graft

Vermont 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 October 2026.

How much does Shoulder Tumor Removal With Bone Graft cost?

$1,122

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $832 to $1,230.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,188 · 10th to 90th $661 to $8,318Professionalmedian $1,000 · 10th to 90th $776 to $1,413
$500$1K$2K$5Kfacility $2,188professional $1,000

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,230.27
Typical High
$1,230.27
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$933.25
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
United
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$954.99
Typical High
$1,621.81

Where Vermont sits

The same service costs 7.8 times more in Alaska than in Texas. 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.

Vermont· 16th of 51

$1,122

AK $2,818TX $363

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.