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Wide Removal Of A Tumor At The Upper Arm Bone

Wisconsin rates for HCPCS 23220

Removes a tumor at the upper end of the arm bone where it forms the shoulder, taking a wide margin of surrounding healthy bone and soft tissue with it to reduce the chance of leaving cancer behind. It is a major operation for an aggressive bone tumor. Rebuilding the shoulder afterwards is planned as its own step.

Rates data updated July 2026.

How much does Wide Removal Of A Tumor At The Upper Arm Bone cost?

$6,761

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $6,761 for this service. Most negotiated rates run $4,786 to $9,120.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,890 to $14,454Professionalmedian $4,365 · 10th to 90th $2,818 to $6,026
$2K$5K$10Kfacility $7,943professional $4,365

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
$1,862.09
Median
$3,890.45
Typical High
$14,454.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,128.31
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$5,754.40
Typical High
$9,120.11
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,890.45
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,890.45
Typical High
$15,135.61
Network Health
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$10,715.19
Typical High
$17,378.01
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,187.76
Typical High
$3,981.07
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$6,025.60
Quartz
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$20,892.96
Typical High
$20,892.96
Security Health
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$13,803.84
Typical High
$17,378.01

Where Wisconsin sits

The same service costs 7.8 times more in Wyoming than in North Dakota. 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.

Wisconsin· 11th of 50

$6,761

WY $14,791ND $1,905

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.