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Repair of a Long-Standing Rotator Cuff Tear

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

$5,888

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $3,162 to $8,318.

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.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,288 to $11,220
$1K$2K$5K$10Kfacility $5,888

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
$1,202.26
Median
$6,165.95
Typical High
$11,220.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$158.49
Median
$158.49
Typical High
$158.49
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,623.41
Typical High
$11,220.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,981.07
Typical High
$6,606.93
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$21,379.62

Where Pennsylvania sits

The same service costs 21.9 times more in Indiana than in West Virginia. 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.

Pennsylvania· 23rd of 50

$5,888

IN $20,893WV $955

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.