Repair of a Long-Standing Rotator Cuff Tear

Maine rates for HCPCS 23420

Rebuilds a rotator cuff that has torn completely away from the top of the arm bone and has been that way long enough for the tendon to pull back and stiffen. Through an open incision the surgeon frees the retracted tendon, brings it back down to bone, and anchors it there, usually trimming the bony ridge above so the repair is not pinched. It is a bigger reconstruction than repairing a fresh, simple tear.

Rates data updated July 2026.

How much rates vary

Facilitymedian $14,791 · 10th to 90th $14,791 to $14,791

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
United Setting Facility Modifier Global Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08	Facility	Global	$14,791.08	$14,791.08	$14,791.08