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Muscle Transfer in the Shoulder or Upper Arm

Hawaii 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 October 2026.

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

$3,664

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $3,664 for this procedure. That total is two separate charges: $1,622 to the doctor who performs it, and $2,042 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,622$219 to $1,622
Facility feeThe hospital or surgery center$2,042$1,738 to $3,548

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,549 to $6,026Professionalmedian $1,622 · 10th to 90th $30 to $1,738
$50$200$1K$5Kfacility $2,042professional $1,622

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,479.11
Median
$2,818.38
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,737.80
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,412.54
Typical High
$2,290.87
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,621.81
Typical High
$1,621.81
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$218.78
Typical High
$5,888.44

Where Hawaii sits

The same service costs 4.0 times more in Colorado than in Hawaii. 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.

Physician feeFacility fee

Hawaii· 51st of 51

$3,664

$1,622 physician + $2,042 facility

CO $14,661HI $3,664

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.