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Muscle Transfer in the Shoulder or Upper Arm

Nebraska 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?

$7,943

Typical facility fee. In Nebraska, July 2026.

Insurers have agreed to pay about $7,943 for this service. Most negotiated rates run $6,026 to $12,589.

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.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $2,138 to $15,136Professionalmedian $2,884 · 10th to 90th $2,455 to $3,981
$2K$5K$10K$20Kfacility $8,511professional $2,884

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
$7,079.46
Median
$8,511.38
Typical High
$15,135.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$9,549.93
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$2,089.30
Typical High
$10,471.29
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$331.13
Median
$2,398.83
Typical High
$2,398.83
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,884.03
Typical High
$3,981.07
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$6,918.31
Typical High
$10,964.78

Where Nebraska 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.

Nebraska· 11th of 50

$7,943

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.