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Revision Surgery for a Shoulder Replacement

Nationwide rates for HCPCS 23474

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?

$10,574

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $10,574 for this procedure. That total is two separate charges: $2,630 to the doctor who performs it, and $7,943 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 57 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,630$1,862 to $3,802
Facility feeThe hospital or surgery center$7,943$3,467 to $14,454

How much rates vary

Facilitymedian $7,943 · 10th to 90th $1,862 to $23,442Professionalmedian $2,630 · 10th to 90th $1,549 to $7,762
$100$500$2K$10K$50Kfacility $7,943professional $2,630

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
$5,623.41
Typical High
$16,982.44
Aetna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$794.33
Median
$1,000.00
Typical High
$2,137.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$13,803.84
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$5,623.41
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$9,332.54
Typical High
$23,442.29

What it costs in each state

The same service costs 5.5 times more in Wisconsin 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

Touch or drag across the chart to see any state's rate.

WI $19,739MD $3,600

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.