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Strengthening A Weakened Bone At The Shoulder

Hawaii 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 October 2026.

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

$2,734

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $2,734 for this procedure. That total is two separate charges: $1,288 to the doctor who performs it, and $1,445 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,288$1,230 to $1,514
Facility feeThe hospital or surgery center$1,445$1,259 to $3,802

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $4,467Professionalmedian $1,288 · 10th to 90th $30 to $1,585
$50$100$200$500$1K$2K$5Kfacility $1,445professional $1,288

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
$1,000.00
Median
$1,047.13
Typical High
$1,288.25
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
$1,288.25
Median
$1,288.25
Typical High
$1,288.25
HMSA
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,513.56
Typical High
$1,584.89
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$676.08
Median
$758.58
Typical High
$794.33
HMSA
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$229.09
Median
$257.04
Typical High
$269.15
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,122.02
Typical High
$1,548.82
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
$1,202.26
Median
$1,288.25
Typical High
$1,288.25
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$173.78
Typical High
$4,786.30

Where Hawaii sits

The same service costs 7.2 times more in Alaska than in Hawaii. 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

Hawaii· 51st of 51

$2,734

$1,288 physician + $1,445 facility

AK $19,657HI $2,734

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.