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Muscle Transfer, Elbow to Shoulder

Indiana rates for HCPCS 24320

This is surgery to transfer or reposition a muscle spanning from the elbow to the shoulder area, restoring movement that has been lost because nearby muscles or nerves no longer function well enough on their own. It is a more extensive procedure than a local tendon repair. Recovery typically involves a period of limited arm movement followed by gradual physical therapy.

Rates data updated July 2026.

How much does Muscle Transfer, Elbow to Shoulder cost?

$1,148

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $1,148 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $22,387 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$813$724 to $1,000
FacilityA hospital or hospital-owned outpatient department$22,387$8,128 to $30,903

How much rates vary

Facilitymedian $22,387 · 10th to 90th $2,344 to $35,481Professionalmedian $813 · 10th to 90th $692 to $1,514
$1K$2K$5K$10K$20K$50Kfacility $22,387professional $813

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
$1,122.02
Median
$4,897.79
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$758.58
Typical High
$1,230.27
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$26,302.68
Typical High
$38,904.51
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,000.00
Typical High
$1,548.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$776.25
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$4,677.35
Typical High
$5,623.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$7,413.10
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,445.44

Where Indiana sits

The same service costs 6.5 times more in California than in Delaware. 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.

Indiana· 26th of 51

$1,148

CA $5,012DE $776

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.