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Open Repair Of Loose Shoulder At The Back

North Dakota rates for HCPCS 23465

Open surgery to tighten the stretched capsule and ligaments at the back of the shoulder joint so the ball stops sliding backward out of its socket. The surgeon reaches the joint through an incision, overlaps or reattaches the loosened tissue, and may add a small block of bone to build up a worn rim. It is done for repeated dislocations or a persistent feeling that the shoulder is giving way.

Rates data updated July 2026.

How much does Open Repair Of Loose Shoulder At The Back cost?

$3,284

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $3,284 for this procedure. That total is two separate charges: $2,188 to the doctor who performs it, and $1,096 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,188$1,096 to $2,570
Facility feeThe hospital or surgery center$1,096$1,096 to $1,862

How much rates vary

Facilitymedian $1,096 · 10th to 90th $1,096 to $8,511Professionalmedian $2,188 · 10th to 90th $1,096 to $2,884
$1K$2K$5K$10Kfacility $1,096professional $2,188

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
$1,096.48
Median
$1,096.48
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,096.48
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,454.71
Typical High
$2,884.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$2,089.30
Typical High
$3,467.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,995.26
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$12,022.64
Typical High
$14,454.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$2,754.23

Where North Dakota sits

The same service costs 10.5 times more in Indiana than in Maryland. 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.

Physician feeFacility fee

North Dakota· 45th of 50

$3,284

$2,188 physician + $1,096 facility

IN $23,562MD $2,246

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.