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Muscle Transfer in the Shoulder or Upper Arm

South 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 July 2026.

How much does Muscle Transfer in the Shoulder or Upper Arm cost?

$2,188

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,188 for this service. Most negotiated rates run $1,660 to $2,512.

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 $2,239 · 10th to 90th $1,549 to $4,898Professionalmedian $2,138 · 10th to 90th $1,479 to $2,754
$2K$5K$10Kfacility $2,239professional $2,138

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
$1,258.93
Median
$4,365.16
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$2,137.96
Typical High
$3,311.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,884.03
Typical High
$2,884.03
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,137.96
Typical High
$2,511.89
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08

Where South Dakota 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.

South Dakota· 46th of 50

$2,188

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.