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Strengthening of a Weakened Collarbone

Hawaii rates for HCPCS 23490

Surgery that reinforces a collarbone that has been weakened by disease and is at risk of breaking, before a fracture actually happens. A rod, plate, pins, or wires are placed to support the bone, and bone cement is sometimes used to fill a hollowed-out area.

Rates data updated October 2026.

How much does Strengthening of a Weakened Collarbone cost?

$1,122

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $1,122 for this service. The price depends on where it is billed: about $1,096 from a physician practice, and about $1,445 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,096$1,047 to $1,288
FacilityA hospital or hospital-owned outpatient department$1,445$1,259 to $3,802

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $4,467Professionalmedian $1,096 · 10th to 90th $30 to $1,349
$50$100$200$500$1K$2K$5Kfacility $1,445professional $1,096

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
Facility
Modifier
None
Typical Low
$1,047.13
Median
$2,818.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,288.25
Typical High
$1,348.96
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$575.44
Median
$645.65
Typical High
$676.08
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$194.98
Median
$218.78
Typical High
$229.09
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$977.24
Typical High
$1,348.96
United
Setting
Facility
Modifier
None
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,096.48
Typical High
$1,096.48
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$147.91
Typical High
$4,786.30

Where Hawaii sits

The same service costs 8.1 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.

Hawaii· 28th of 51

$1,122

AK $3,548TX $437

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.