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Muscle Transfer in the Shoulder or Upper Arm

Washington, DC 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?

$5,495

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $5,495 for this service. Most negotiated rates run $2,138 to $7,079.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,495 · 10th to 90th $1,349 to $7,762Professionalmedian $2,630 · 10th to 90th $1,230 to $2,951
$2K$5K$10K$20Kfacility $5,495professional $2,630

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
$1,348.96
Median
$4,786.30
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,630.27
Typical High
$2,951.21
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$14,791.08
Typical High
$38,018.94

Where Washington, DC 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.

Washington, DC· 22nd of 50

$5,495

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.