go back

Muscle Transfer, Elbow to Shoulder

Virginia 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?

$1,047

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $933 from a physician practice, and about $3,388 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 8 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$933$813 to $1,259
FacilityA hospital or hospital-owned outpatient department$3,388$977 to $7,079

How much rates vary

Facilitymedian $3,388 · 10th to 90th $813 to $10,715Professionalmedian $933 · 10th to 90th $708 to $2,138
$1K$2K$5K$10Kfacility $3,388professional $933

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
$870.96
Median
$5,011.87
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$870.96
Typical High
$4,265.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,122.02
Typical High
$1,949.84
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,698.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$891.25
Typical High
$1,047.13
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,548.82
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
Sentara
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$7,943.28
Sentara
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$7,943.28
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$8,912.51
Typical High
$17,782.79
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$933.25
Typical High
$1,548.82

Where Virginia 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.

Virginia· 32nd of 51

$1,047

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.