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Thumb Tendon Transfer Reconstruction With Graft

Missouri 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?

$4,787

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

Insurers have agreed to pay about $4,787 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $3,715 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$933 to $1,445
Facility feeThe hospital or surgery center$3,715$2,512 to $5,370

How much rates vary

Facilitymedian $3,715 · 10th to 90th $1,479 to $7,943Professionalmedian $1,072 · 10th to 90th $832 to $3,548
$1K$2K$5K$10Kfacility $3,715professional $1,072

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
$1,258.93
Median
$3,388.44
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,047.13
Typical High
$5,248.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,570.88
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,071.52
Typical High
$1,621.81
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,479.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,148.15
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$1,479.11
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$3,019.95
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,071.52
Typical High
$1,737.80

Where Missouri 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

Missouri· 27th of 50

$4,787

$1,072 physician + $3,715 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.