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Thumb Opposition Surgery Using A Hand Muscle

Iowa 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?

$1,349

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,349 from a physician practice, and about $4,898 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,349$871 to $1,905
FacilityA hospital or hospital-owned outpatient department$4,898$3,388 to $6,761

How much rates vary

Facilitymedian $4,898 · 10th to 90th $1,349 to $8,913Professionalmedian $1,349 · 10th to 90th $776 to $3,981
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $4,898professional $1,349

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
$1,348.96
Median
$4,897.79
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$912.01
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,949.84
Typical High
$2,454.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,174.90
Typical High
$2,511.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$2,137.96
Typical High
$8,912.51
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,513.56
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,584.89
Median
$1,949.84
Typical High
$3,019.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$7,079.46
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,202.26
Typical High
$2,238.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$1,737.80
Typical High
$2,041.74

Where Iowa 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.

Iowa $1,349 · 19th 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.