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Thumb Opposition Surgery Using A Hand Muscle

North Dakota 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 October 2026.

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

$1,660

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,660 for this service. The price depends on where it is billed: about $1,660 from a physician practice, and about $1,995 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,660$1,413 to $1,950
FacilityA hospital or hospital-owned outpatient department$1,995$813 to $3,020

How much rates vary

Facilitymedian $1,995 · 10th to 90th $813 to $3,236Professionalmedian $1,660 · 10th to 90th $851 to $2,188
$1K$2K$5K$10K$20Kfacility $1,995professional $1,660

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
$812.83
Median
$812.83
Typical High
$5,011.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$851.14
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,819.70
Typical High
$2,187.76
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,737.80
Median
$2,187.76
Typical High
$2,630.27
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,548.82
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$144.54
Median
$181.97
Typical High
$218.78
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$1,096.48
Median
$1,380.38
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,737.80
Typical High
$2,630.27
Medica
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$1,995.26
Typical High
$3,235.94
Medica
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,445.44
Typical High
$2,089.30
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
$851.14
Median
$1,445.44
Typical High
$1,621.81

Where North Dakota sits

The same service costs 7.4 times more in Alaska than in Texas. 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.

North Dakota· 8th of 51

$1,660

AK $3,467TX $468

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.