go back

Muscle Transfer in the Shoulder or Upper Arm

Montana 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?

$4,083

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

Insurers have agreed to pay about $4,083 for this procedure. That total is two separate charges: $2,042 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$2,042$1,318 to $2,042
Facility feeThe hospital or surgery center$2,042$1,995 to $2,344

How much rates vary

Facilitymedian $2,042 · 10th to 90th $1,820 to $5,888Professionalmedian $2,042 · 10th to 90th $1,072 to $2,188
$100$200$500$1K$2K$5K$10Kfacility $2,042professional $2,042

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$2,089.30
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$5,888.44
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$1,995.26
Typical High
$2,290.87
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,995.26
Typical High
$2,137.96
Providence
Setting
Facility
Modifier
None
Typical Low
$2,041.74
Median
$5,888.44
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,905.46
Median
$2,137.96
Typical High
$2,398.83

Where Montana 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

Montana· 50th of 51

$4,083

$2,042 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.