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Muscle Transfer in the Shoulder or Upper Arm

North Dakota 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?

$5,217

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $5,217 for this procedure. That total is two separate charges: $2,399 to the doctor who performs it, and $2,818 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$2,399$2,089 to $2,754
Facility feeThe hospital or surgery center$2,818$1,259 to $4,266

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,259 to $4,571Professionalmedian $2,399 · 10th to 90th $1,259 to $3,162
$1K$2K$5K$10K$20Kfacility $2,818professional $2,399

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
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$1,584.89
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$2,089.30
Median
$2,691.53
Typical High
$3,162.28
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$2,511.89
Median
$3,235.94
Typical High
$3,801.89
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$2,187.76
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$208.93
Median
$269.15
Typical High
$316.23
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,548.82
Median
$1,995.26
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$2,630.27
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$2,884.03
Typical High
$4,570.88
Medica
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,398.83
Typical High
$3,311.31
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$4,168.69
Typical High
$4,677.35
United
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,344.23
Typical High
$2,570.40

Where North Dakota 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

North Dakota· 35th of 51

$5,217

$2,399 physician + $2,818 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.