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Revision Surgery for a Shoulder Replacement

North Carolina rates for HCPCS 23473

Redoes a previous total shoulder replacement, taking out artificial parts that have worn, loosened, become infected or sit badly, and fitting new ones. Bone lost around the old implant may be rebuilt with donor bone. It is longer and more demanding than the first replacement, because scar tissue and weakened bone have to be dealt with before new parts can be seated.

Rates data updated July 2026.

How much does Revision Surgery for a Shoulder Replacement cost?

$5,248

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $1,660 to $10,000.

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 $5,248 · 10th to 90th $1,148 to $22,387Professionalmedian $3,715 · 10th to 90th $3,715 to $3,715
$500$1K$2K$5K$10K$20K$50Kfacility $5,248professional $3,715

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$6,456.54
Typical High
$22,387.21
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$794.33
Median
$1,258.93
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,715.35
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,862.09
Typical High
$3,235.94
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$23,988.33
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$52,480.75
Typical High
$52,480.75
Wellcare
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07

Where North Carolina sits

The same service costs 20.9 times more in Indiana 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.

North Carolina· 29th of 50

$5,248

IN $33,113ND $1,585

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.