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Muscle Transfer, Elbow to Shoulder

New York 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?

$1,259

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1,259 for this service. The price depends on where it is billed: about $891 from a physician practice, and about $5,888 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 9 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$891$759 to $1,318
FacilityA hospital or hospital-owned outpatient department$5,888$3,162 to $10,965

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,148 to $14,454Professionalmedian $891 · 10th to 90th $661 to $2,291
$500$1K$2K$5K$10K$20Kfacility $5,888professional $891

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
$954.99
Median
$4,570.88
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$851.14
Typical High
$2,089.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$17,782.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$776.25
Typical High
$1,949.84
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,995.26
Typical High
$8,912.51
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,230.27
Typical High
$3,630.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,230.27
Typical High
$2,818.38
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$1,819.70
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,023.29
Typical High
$1,659.59
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$1,071.52
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$4,897.79
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$3,548.13
Univera
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$933.25
Typical High
$3,467.37
Univera
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$954.99
Typical High
$2,137.96

Where New York 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.

New York· 21st of 51

$1,259

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.