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Muscle Transfer in the Shoulder or Upper Arm

Georgia 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?

$5,370

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $2,818 to $8,511.

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.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,738 to $11,749Professionalmedian $1,698 · 10th to 90th $1,259 to $2,951
$2K$5K$10K$20Kfacility $5,370professional $1,698

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
$1,778.28
Median
$5,370.32
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$2,951.21
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,309.57
Typical High
$12,022.64

Where Georgia 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.

Georgia· 23rd of 50

$5,370

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.