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Open Repair Of A Broken Shoulder Blade

North Carolina rates for HCPCS 23585

Repairs a fractured shoulder blade through an incision, lining the pieces up under direct view and holding them with plates and screws where fixation is needed. Most shoulder blade fractures heal without surgery, so this is used when the break is badly displaced or involves the socket of the shoulder joint.

Rates data updated July 2026.

How much does Open Repair Of A Broken Shoulder Blade cost?

$1,622

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,622 for this service. Most negotiated rates run $1,047 to $6,918.

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.

How much rates vary

Facilitymedian $1,622 · 10th to 90th $955 to $11,220Professionalmedian $1,148 · 10th to 90th $1,148 to $2,239
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,622professional $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. 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
Global
Typical Low
$954.99
Median
$3,019.95
Typical High
$10,964.78
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$1,548.82
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,238.72
Medcost
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,862.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$13,803.84
Typical High
$23,442.29
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$45,708.82
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23

Where North Carolina sits

The same service costs 21.9 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $1,622 · 44th of 50
IN $20,893MD $955

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.