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Muscle Transfer in the Shoulder or Upper Arm

Texas 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?

$4,169

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $1,995 to $8,710.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,175 to $15,136
$1K$2K$5K$10K$20Kfacility $4,169

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$3,715.35
Typical High
$12,589.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$9,549.93
Typical High
$19,054.61
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$1,148.15
Typical High
$1,174.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$2,041.74
Typical High
$2,041.74
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$42,657.95
Typical High
$42,657.95
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,754.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,754.23
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,165.95
Typical High
$12,589.25

Where Texas 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.

Texas· 31st of 50

$4,169

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.