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Open Repair Of A Broken Shoulder Blade

New York 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?

$6,310

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $6,310 for this service. Most negotiated rates run $3,311 to $11,482.

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 10 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,310 · 10th to 90th $1,380 to $15,136
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $6,310

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
$1,174.90
Median
$4,677.35
Typical High
$11,481.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,202.26
Typical High
$3,467.37
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$11,748.98
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$6,309.57
Typical High
$16,595.87
Univera
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$3,162.28

Where New York 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.

New York $6,310 · 16th 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.