go back

Other Shoulder Procedure

Montana rates for HCPCS 23929

Covers an operation on the shoulder that is unusual enough to have no standard name of its own. The surgeon files a written report describing exactly what was done and why, and that report is used to judge the work involved. What it covers depends entirely on the individual case.

Rates data updated July 2026.

How much does Other Shoulder Procedure cost?

$676

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $151 from a physician practice, and about $10,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$151$79.43 to $676
FacilityA hospital or hospital-owned outpatient department$10,715$676 to $69,183

How much rates vary

Facilitymedian $10,715 · 10th to 90th $631 to $87,096Professionalmedian $151 · 10th to 90th $79 to $1,288
$100$1K$10K$100Kfacility $10,715professional $151

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. 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
Global
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$1,288.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$676.08
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$676.08
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11

Where Montana sits

The same service costs 33.9 times more in Maine than in Wyoming. 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.

Montana· 43rd of 50

$676

ME $8,511WY $251

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.