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Open Repair of Acute Muscle-Tendon Cuff Tear

Pennsylvania rates for HCPCS 23410

Open surgery to repair a ruptured musculotendinous cuff — a group of muscles and tendons that stabilize a joint, most commonly the rotator cuff of the shoulder. This service is for acute (recent) tears.

Rates data updated July 2026.

How much does Open Repair of Acute Muscle-Tendon Cuff Tear cost?

$6,026

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $6,026 for this service. Most negotiated rates run $3,802 to $7,762.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,288 to $10,715
$1K$2K$5K$10K$20Kfacility $6,026

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
$1,148.15
Median
$6,025.60
Typical High
$10,000.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$12,589.25
Typical High
$33,113.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$5,623.41
Typical High
$10,715.19
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$2,884.03
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$21,379.62

Where Pennsylvania sits

The same service costs 19.1 times more in Delaware than in Maryland. 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.

Pennsylvania· 19th of 50

$6,026

DE $24,547MD $1,288

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.