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Strengthening A Weakened Bone At The Shoulder

Maryland 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?

$1,122

Typical facility fee. In Maryland, July 2026.

Insurers have agreed to pay about $1,122 for this service. Most negotiated rates run $1,000 to $1,549.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,000 · 10th to 90th $513 to $10,000Professionalmedian $1,122 · 10th to 90th $977 to $1,820
$1K$2K$5K$10K$20Kfacility $1,000professional $1,122

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$7,943.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,122.02
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$26,302.68

Where Maryland 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.

Maryland· 48th of 50

$1,122

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.