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Shoulder Replacement for a Broken Upper Arm Bone

Alaska rates for HCPCS 23616

Treats a break at the top of the upper arm bone by replacing the broken ball of the shoulder with an artificial one through an open incision. It is chosen when the bone is in too many pieces, or its blood supply is too damaged, for a repair to be expected to heal. Tendons and bone fragments around the shoulder are reattached to the implant where possible.

Rates data updated October 2026.

How much does Shoulder Replacement for a Broken Upper Arm Bone cost?

$28,454

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

Insurers have agreed to pay about $28,454 for this procedure. That total is two separate charges: $5,012 to the doctor who performs it, and $23,442 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$5,012$3,311 to $5,623
Facility feeThe hospital or surgery center$23,442$8,710 to $33,884

How much rates vary

Facilitymedian $23,442 · 10th to 90th $5,888 to $44,668Professionalmedian $5,012 · 10th to 90th $1,349 to $6,310
$100$1K$10K$100Kfacility $23,442professional $5,012

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
$2,344.23
Median
$10,000.00
Typical High
$16,982.44
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$6,025.60
Typical High
$14,125.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$34,673.69
Typical High
$50,118.72
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,862.09
Typical High
$4,073.80
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,862.09
Median
$6,025.60
Typical High
$8,709.64
Moda Health
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$4,570.88
Typical High
$6,606.93
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$30,902.95
Typical High
$39,810.72
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Providence
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$28,840.32
Typical High
$61,659.50
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,698.24
Typical High
$4,073.80
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$11,220.18
Typical High
$24,547.09
United
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$3,311.31
Typical High
$7,244.36

Where Alaska sits

The same service costs 8.4 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

Alaska· 1st of 51

$28,454

$5,012 physician + $23,442 facility

AK $28,454HI $3,369

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.