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Thumb Opposition Surgery Using A Hand Muscle

Hawaii rates for HCPCS 26494

Restores the ability to swing the thumb across the palm to meet the other fingers, a movement that is lost when the muscle responsible stops working. A muscle from the little-finger side of the palm is redirected and attached so that it takes over that job.

Rates data updated July 2026.

How much does Thumb Opposition Surgery Using A Hand Muscle cost?

$2,512

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $1,202 to $5,248.

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.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,318 to $4,467Professionalmedian $2,512 · 10th to 90th $813 to $6,166
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $4,467professional $2,512

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
$1,318.26
Median
$4,466.84
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,318.26
HMSA
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,318.26
Typical High
$1,548.82
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,047.13
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$977.24
Typical High
$1,318.26
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$3,235.94
Typical High
$6,165.95

Where Hawaii sits

The same service costs 5.8 times more in California than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $2,512 · 3rd of 51
CA $5,012NM $871

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.