Open Repair Of A Long-Standing Rotator Cuff Tear

Vermont 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 rates vary

Facilitymedian $5,754 · 10th to 90th $5,754 to $6,166

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $5,754.40 Median $5,754.40 Typical High $6,165.95	Facility	Global	$5,754.40	$5,754.40	$6,165.95