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Muscle Transfer in the Shoulder or Upper Arm

North Carolina 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?

$2,512

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $1,479 to $8,913.

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 $2,512 · 10th to 90th $1,259 to $12,589Professionalmedian $2,089 · 10th to 90th $2,089 to $2,951
$1$10$100$1K$10Kfacility $2,512professional $2,089

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
$0.58
Median
$6,025.60
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$2,041.74
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,951.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,964.78
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$42,657.95
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30

Where North Carolina 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.

North Carolina· 42nd of 50

$2,512

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.