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Muscle Transfer in the Shoulder or Upper Arm

California rates for HCPCS 23395

Moves a working muscle, together with its tendon, to a new attachment in the shoulder or upper arm so that it takes over the job of a muscle that no longer works. It is used after nerve injury, paralysis, or a tear that cannot be repaired, when a lost movement has to be restored another way. Retraining the transferred muscle is a large part of the recovery.

Rates data updated July 2026.

How much does Muscle Transfer in the Shoulder or Upper Arm cost?

$10,233

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $10,233 for this service. Most negotiated rates run $6,761 to $14,125.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,471 · 10th to 90th $3,890 to $18,197Professionalmedian $1,413 · 10th to 90th $955 to $2,818
$100$500$2K$10Kfacility $10,471professional $1,413

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
$3,981.07
Median
$9,120.11
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$7,079.46
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$3,801.89
Typical High
$8,912.51
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,348.96
Typical High
$1,819.70
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$3,019.95
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$42,657.95
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,022.64
Typical High
$25,118.86

Where California sits

The same service costs 17.8 times more in Indiana than in North Dakota. 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.

California· 7th of 50

$10,233

IN $22,387ND $1,259

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.