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Thumb Tendon Transfer Reconstruction With Graft

North Dakota 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 October 2026.

How much does Thumb Tendon Transfer Reconstruction With Graft cost?

$3,815

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $3,815 for this procedure. That total is two separate charges: $1,820 to the doctor who performs it, and $1,995 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,820$1,549 to $2,138
Facility feeThe hospital or surgery center$1,995$891 to $3,020

How much rates vary

Facilitymedian $1,995 · 10th to 90th $891 to $3,236Professionalmedian $1,820 · 10th to 90th $933 to $2,399
$1K$2K$5K$10K$20Kfacility $1,995professional $1,820

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$933.25
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$2,398.83
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,905.46
Median
$2,454.71
Typical High
$2,884.03
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,122.02
Median
$1,412.54
Typical High
$1,698.24
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$158.49
Median
$204.17
Typical High
$239.88
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,202.26
Median
$1,513.56
Typical High
$1,819.70
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,905.46
Typical High
$2,884.03
Medica
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$1,995.26
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,621.81
Typical High
$2,344.23
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$3,019.95
Typical High
$3,235.94
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,621.81
Typical High
$1,778.28

Where North Dakota sits

The same service costs 3.1 times more in Alaska than in Hawaii. 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

North Dakota· 24th of 51

$3,815

$1,820 physician + $1,995 facility

AK $8,167HI $2,648

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.