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Total Shoulder Replacement (Open Surgery)

Washington, DC rates for HCPCS 23472

This surgery replaces both sides of the shoulder joint, the ball at the top of the arm bone and the socket in the shoulder blade, with prosthetic components through an open surgical incision. It's typically performed for advanced shoulder arthritis or joint damage when other treatments have not provided lasting relief. The procedure is a larger reconstructive operation compared to repairs that address only part of the joint or surrounding tissue.

Rates data updated July 2026.

How much does Total Shoulder Replacement (Open Surgery) cost?

$2,138

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $1,479 to $3,981.

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 $5,370 · 10th to 90th $1,698 to $13,183Professionalmedian $1,479 · 10th to 90th $275 to $3,090
$500$2K$10K$50Kfacility $5,370professional $1,479

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
$1,698.24
Median
$4,786.30
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$1,479.11
Typical High
$3,090.30
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$1,698.24
Typical High
$13,803.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,862.09
Typical High
$3,981.07
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,951.21
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$35,481.34
Typical High
$91,201.08
United
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$4,168.69

Where Washington, DC sits

The same service costs 3.0 times more in Wisconsin than in Delaware. 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.

Washington, DC· 28th of 51

$2,138

WI $4,365DE $1,479

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.