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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 October 2026.

How much does Thumb Tendon Transfer Reconstruction With Graft cost?

$3,901

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

Insurers have agreed to pay about $3,901 for this procedure. That total is two separate charges: $1,905 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,905$1,349 to $2,291
Facility feeThe hospital or surgery center$1,995$1,318 to $2,138

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,122 to $2,399Professionalmedian $1,905 · 10th to 90th $933 to $2,512
$1K$2K$5Kfacility $1,995professional $1,905

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
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$933.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,905.46
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,995.26
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,949.84
Typical High
$6,918.31
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$1,949.84
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$2,238.72
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,905.46
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,819.70
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,698.24
Typical High
$2,511.89
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$1,949.84
Typical High
$2,290.87

Where South 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

South Dakota· 23rd of 51

$3,901

$1,905 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.