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Thumb Tendon Transfer Reconstruction With Graft

South 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 July 2026.

How much does Thumb Tendon Transfer Reconstruction With Graft cost?

$3,170

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $3,170 for this procedure. That total is two separate charges: $1,585 to the doctor who performs it, and $1,585 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$1,585$955 to $2,089
Facility feeThe hospital or surgery center$1,585$1,380 to $3,548

How much rates vary

Facilitymedian $1,585 · 10th to 90th $1,122 to $4,365Professionalmedian $1,585 · 10th to 90th $794 to $2,570
$1K$2K$5Kfacility $1,585professional $1,585

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. 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
Global
Typical Low
$891.25
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$2,187.76
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$2,238.72
Medica
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,584.89
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,949.84
Typical High
$2,041.74
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,905.46
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,479.11
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,584.89
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,290.87

Where South Dakota 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

South Dakota· 43rd of 50

$3,170

$1,585 physician + $1,585 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.