go back

Open Repair Of A Long-Standing Rotator Cuff Tear

Montana 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?

$2,729

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

Insurers have agreed to pay about $2,729 for this procedure. That total is two separate charges: $1,349 to the doctor who performs it, and $1,380 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$1,349$933 to $1,380
Facility feeThe hospital or surgery center$1,380$1,349 to $1,698

How much rates vary

Facilitymedian $1,380 · 10th to 90th $1,202 to $5,888Professionalmedian $1,349 · 10th to 90th $741 to $1,445
$100$200$500$1K$2K$5K$10Kfacility $1,380professional $1,349

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$870.96
Typical High
$1,737.80
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$5,888.44
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,202.26
Median
$1,348.96
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,348.96
Typical High
$1,445.44
Providence
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$5,888.44
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,230.27
Typical High
$1,380.38
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,258.93
Median
$1,412.54
Typical High
$1,621.81

Where Montana 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

Montana· 51st of 51

$2,729

$1,349 physician + $1,380 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.