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Repair of a Broken Shoulder Bump

South Dakota 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?

$1,549

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,549 for this service. Most negotiated rates run $1,148 to $3,388.

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 $3,388 · 10th to 90th $1,202 to $4,365Professionalmedian $1,318 · 10th to 90th $871 to $1,698
$1K$2K$5Kfacility $3,388professional $1,318

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
$3,388.44
Median
$3,388.44
Typical High
$4,365.16
Avera
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,230.27
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$1,778.28
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,318.26
Typical High
$1,548.82
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$14,791.08

Where South Dakota sits

The same service costs 39.8 times more in West Virginia than in Maryland. 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.

South Dakota· 44th of 50

$1,549

WV $30,903MD $776

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.