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Thumb Opposition Surgery Using A Hand Muscle

South 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 July 2026.

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

$1,445

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $1,445 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $1,445 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$1,445$871 to $1,905
FacilityA hospital or hospital-owned outpatient department$1,445$1,259 to $3,548

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,023 to $4,365Professionalmedian $1,445 · 10th to 90th $724 to $2,344
$1.0K$2.0K$5.0Kfacility $1,445professional $1,445

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
$812.83
Median
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,737.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,949.84
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,445.44
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$1,862.09
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,288.25
Typical High
$1,659.59
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
$794.33
Median
$1,412.54
Typical High
$2,238.72
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$1,778.28
Typical High
$2,089.30

Where South Dakota 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.

South Dakota $1,445 · 13th 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.