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Muscle Transfer, Elbow to Shoulder

Pennsylvania 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?

$891

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $813 from a physician practice, and about $4,266 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$813$741 to $977
FacilityA hospital or hospital-owned outpatient department$4,266$2,630 to $6,761

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $8,318Professionalmedian $813 · 10th to 90th $708 to $1,230
$1K$2K$5K$10Kfacility $4,266professional $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
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$794.33
Typical High
$1,148.15
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$1,584.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,174.90
Typical High
$1,513.56
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$954.99
Typical High
$1,548.82
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$954.99
Typical High
$1,000.00
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,548.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$776.25
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,466.84
Typical High
$21,379.62
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,548.82

Where Pennsylvania 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.

Pennsylvania· 44th of 51

$891

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.