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Open Repair Of Loose Shoulder At The Back

Vermont 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 October 2026.

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

$1,698

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,698 for this service. Most negotiated rates run $1,413 to $1,995.

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.

How much rates vary

Facilitymedian $2,344 · 10th to 90th $661 to $8,318Professionalmedian $1,698 · 10th to 90th $1,288 to $2,291
$500$1K$2K$5Kfacility $2,344professional $1,698

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
$1,318.26
Median
$1,348.96
Typical High
$1,348.96
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$8,317.64
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$1,995.26
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,548.82
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
United
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,584.89
Typical High
$2,630.27

Where Vermont sits

The same service costs 7.9 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· 21st of 51

$1,698

AK $4,571TX $575

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.