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Muscle Transfer in the Shoulder or Upper Arm

Illinois 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?

$3,020

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $3,020 for this service. Most negotiated rates run $1,820 to $6,918.

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 $3,311 · 10th to 90th $1,259 to $10,965Professionalmedian $2,188 · 10th to 90th $1,380 to $8,128
$200$500$1K$2K$5K$10K$20Kfacility $3,311professional $2,188

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
$1,258.93
Median
$2,754.23
Typical High
$9,772.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$10,964.78
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$2,187.76
Typical High
$8,128.31
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$6,165.95
Typical High
$13,803.84

Where Illinois 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.

Illinois· 40th of 50

$3,020

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.