go back

Free Muscle Flap For Facial Paralysis

New Jersey rates for HCPCS 15842

Microsurgery that transfers a muscle from elsewhere in the body into a paralysed face along with its own artery, vein, and nerve. Those vessels are reconnected under a microscope so the muscle keeps its blood supply, and the nerve is wired to a source of signal so the muscle can contract and produce a smile. It is used for long-standing facial paralysis where the original muscles can no longer recover.

Rates data updated July 2026.

How much does Free Muscle Flap For Facial Paralysis cost?

$3,981

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $7,244 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 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$2,570$2,291 to $4,571
FacilityA hospital or hospital-owned outpatient department$7,244$5,495 to $10,233

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,981 to $11,749Professionalmedian $2,570 · 10th to 90th $2,138 to $9,550
$2K$5K$10Kfacility $7,244professional $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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,162.28
Typical High
$6,165.95
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,235.94
Typical High
$3,715.35
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,623.41
Typical High
$9,120.11
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$3,090.30
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,511.89
Typical High
$5,128.61

Where New Jersey sits

The same service costs 3.2 times more in California than in Arkansas. 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.

New Jersey· 15th of 51

$3,981

CA $7,079AR $2,188

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.