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Open Repair Of A Long-Standing Rotator Cuff Tear

Iowa 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 July 2026.

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

$6,607

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $6,607 for this service. Most negotiated rates run $1,820 to $8,128.

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 $6,918 · 10th to 90th $1,622 to $15,136Professionalmedian $1,622 · 10th to 90th $813 to $3,388
$200$500$1K$2K$5K$10K$20Kfacility $6,918professional $1,622

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
$1,698.24
Median
$6,918.31
Typical High
$13,489.63
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$3,890.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$17,782.79
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,089.30
Typical High
$3,388.44
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$11,220.18
Typical High
$19,054.61

Where Iowa sits

The same service costs 20.0 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.

Iowa· 17th of 51

$6,607

IN $16,982ND $851

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.