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Strengthening A Weakened Bone At The Shoulder

California rates for HCPCS 23491

Places metal such as a rod, plate, pins, or wires, sometimes together with bone cement, into a weakened bone at the shoulder to support it before it breaks. It is used when a tumor or other disease has eaten into the bone and a fracture looks likely.

Rates data updated July 2026.

How much does Strengthening A Weakened Bone At The Shoulder cost?

$7,413

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $5,012 to $10,965.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,762 · 10th to 90th $2,754 to $16,982Professionalmedian $1,148 · 10th to 90th $871 to $2,239
$100$500$2K$10Kfacility $7,762professional $1,148

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
$2,951.21
Median
$7,079.46
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$5,370.32
Typical High
$12,302.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$2,691.53
Typical High
$16,595.87
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,445.44
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,148.15
Typical High
$2,238.72
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$51,286.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$1,995.26
United
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,125.38
Typical High
$28,840.32

Where California sits

The same service costs 30.2 times more in Indiana than in West Virginia. 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.

California· 13th of 50

$7,413

IN $30,200WV $1,000

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.