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Nationwide rates for HCPCS 23474

Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component

Facilitymedian $7,244 · 10th–90th $1,995–$22,9090%5%10th90th$7,244Professionalmedian $2,570 · 10th–90th $1,479–$7,5860%10%10th90th$2,570$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $5,888.44 / $17,378.01
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$4,897.79 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $13,803.84 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $5,888.44 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $9,332.54 / $22,908.68

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