Repairs a break at the top of the upper arm bone, near the shoulder, through an incision that lets the surgeon see the fragments and set them in the right position. Plates, screws, pins or heavy sutures are used to hold the pieces, and broken bumps of bone where the rotator cuff tendons attach are reattached at the same time when needed. The joint surface itself is kept, not replaced.
Rates data updated July 2026.
How much does Open Repair of Broken Upper Arm Bone at Shoulder cost?
$1,549
Typical facility fee. In Montana, July 2026.
Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $1,479 to $1,698.
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 $1,549 · 10th to 90th $1,148 to $40,738
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
Facility/Professional
Modifier
Typical LowTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
MedianTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Typical HighTypical Low is the 10th percentile of the published rates, Median the 50th, and Typical High the 90th. One in ten rates falls below Typical Low, and one in ten falls above Typical High.
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$41,686.94
Typical High
$41,686.94
Facility
Global
$7,943.28
$41,686.94
$41,686.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
Facility
Global
$64,565.42
$75,857.76
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Facility
Global
$1,412.54
$1,412.54
$1,412.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,548.82
Typical High
$1,819.70
Facility
Global
$1,479.11
$1,548.82
$1,819.70
Providence
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,258.93
Typical High
$1,737.80
Facility
Global
$912.01
$1,258.93
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$26,302.68
Facility
Global
$1,071.52
$1,071.52
$26,302.68
Where Montana sits
The same service costs 18.6 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.