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Repair of a Long-Standing Rotator Cuff Tear

Montana 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 October 2026.

How much does Repair of a Long-Standing Rotator Cuff Tear cost?

$3,134

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

Insurers have agreed to pay about $3,134 for this procedure. That total is two separate charges: $1,549 to the doctor who performs it, and $1,585 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$1,549$1,148 to $1,549
Facility feeThe hospital or surgery center$1,585$1,549 to $1,905

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,380 to $7,079Professionalmedian $1,549 · 10th to 90th $851 to $1,660
$100$200$500$1K$2K$5K$10Kfacility $1,585professional $1,549

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
Professional
Modifier
None
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,995.26
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
$1,412.54
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$7,585.78
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$1,778.28
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,548.82
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$7,585.78
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,380.38
Typical High
$1,548.82
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
$1,445.44
Median
$1,621.81
Typical High
$1,819.70

Where Montana sits

The same service costs 4.5 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

$3,134

$1,549 physician + $1,585 facility

CO $14,231MT $3,134

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.