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Open Repair Of A Long-Standing Rotator Cuff Tear

Alaska rates for HCPCS 23412

Repairs a torn rotator cuff — the group of tendons that hold the shoulder in its socket and lift the arm — through an open incision, in a tear that has been present for a long time. Because the tendon has pulled back and thinned over the months or years, the surgeon frees it from surrounding scar before drawing it back to the bone and anchoring it there. A sling and a staged physiotherapy program follow.

Rates data updated October 2026.

How much does Open Repair Of A Long-Standing Rotator Cuff Tear cost?

$12,177

Typical total for the visit. In Alaska, October 2026.

Insurers have agreed to pay about $12,177 for this procedure. That total is two separate charges: $3,467 to the doctor who performs it, and $8,710 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$3,467$2,089 to $4,169
Facility feeThe hospital or surgery center$8,710$5,754 to $12,303

How much rates vary

Facilitymedian $8,710 · 10th to 90th $4,074 to $19,498Professionalmedian $3,467 · 10th to 90th $871 to $5,012
$100$500$2K$10Kfacility $8,710professional $3,467

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
$2,344.23
Median
$14,125.38
Typical High
$22,387.21
Aetna
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$4,168.69
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$9,549.93
Typical High
$28,840.32
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,288.25
Typical High
$2,818.38
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,318.26
Median
$5,888.44
Typical High
$15,488.17
Moda Health
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$3,162.28
Typical High
$5,128.61
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$7,943.28
Typical High
$9,332.54
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Providence
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$9,120.11
Typical High
$28,840.32
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$1,174.90
Typical High
$2,818.38
United
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$8,912.51
Typical High
$19,498.45
United
Setting
Professional
Modifier
None
Typical Low
$831.76
Median
$2,238.72
Typical High
$4,897.79

Where Alaska sits

The same service costs 5.2 times more in Colorado than in Montana. 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

Alaska· 2nd of 51

$12,177

$3,467 physician + $8,710 facility

CO $14,085MT $2,729

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.