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Thumb Tendon Transfer Reconstruction With Graft

Iowa rates for HCPCS 26492

This is a hand surgery that restores the thumb's ability to swing across the palm and touch the fingertips, a movement often lost after certain nerve injuries. A tendon is rerouted to take over this motion, using a section of grafted tissue as part of the reconstruction.

Rates data updated July 2026.

How much does Thumb Tendon Transfer Reconstruction With Graft cost?

$6,377

Typical total for the visit. In Iowa, July 2026.

Insurers have agreed to pay about $6,377 for this procedure. That total is two separate charges: $1,479 to the doctor who performs it, and $4,898 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,479$955 to $2,089
Facility feeThe hospital or surgery center$4,898$3,388 to $6,761

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,479 to $8,913Professionalmedian $1,479 · 10th to 90th $851 to $3,981
$1K$2K$5K$10Kfacility $4,898professional $1,479

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
$1,479.11
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,000.00
Typical High
$6,025.60
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$2,187.76
Typical High
$2,691.53
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,258.93
Typical High
$2,754.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$2,344.23
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,737.80
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,570.40
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,079.46
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,862.09
Typical High
$2,238.72

Where Iowa sits

The same service costs 6.1 times more in Indiana than in Maryland. 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.

Physician feeFacility fee

Iowa· 14th of 50

$6,377

$1,479 physician + $4,898 facility

IN $11,188MD $1,828

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.