Repair of a Broken Shoulder Bump

Nationwide rates for HCPCS 23630

Repairs a broken greater tuberosity, the bony bump at the top of the upper arm bone where the main shoulder tendons attach, through an incision. The fragment is placed back into its bed and held with screws, wires or strong stitches so the tendons pull on the arm properly again. It is used when the piece has pulled far enough out of place that healing where it lies would leave the shoulder weak and stiff.

Rates data updated July 2026.

How much does Repair of a Broken Shoulder Bump cost?

$8,066

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $8,066 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $6,918 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

14% physician fee86% facility fee

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 56 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,148	$851 to $1,698
Facility feeThe hospital or surgery center	The hospital or surgery center	$6,918	$2,951 to $12,023

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,072 to $17,783Professionalmedian $1,148 · 10th to 90th $724 to $2,570

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 Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,000.00 Median $4,897.79 Typical High $13,489.63	Facility	Global	$1,000.00	$4,897.79	$13,489.63
BCBS Setting Facility Modifier Global Typical Low $3,890.45 Median $11,220.18 Typical High $23,988.33	Facility	Global	$3,890.45	$11,220.18	$23,988.33
Cigna Setting Facility Modifier Global Typical Low $1,288.25 Median $2,511.89 Typical High $7,585.78	Facility	Global	$1,288.25	$2,511.89	$7,585.78
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $128.82 Median $128.82 Typical High $128.82	Facility	AS · PA/NP assist	$128.82	$128.82	$128.82
United Setting Facility Modifier Global Typical Low $2,884.03 Median $8,317.64 Typical High $18,620.87	Facility	Global	$2,884.03	$8,317.64	$18,620.87

What it costs in each state

The same service costs 10.2 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

WI $16,274MD $1,599

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.