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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 October 2026.

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

$1,778

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $1,778 for this service. The price depends on where it is billed: about $1,738 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,738$1,230 to $2,089
FacilityA hospital or hospital-owned outpatient department$1,995$1,202 to $2,089

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,096 to $2,399Professionalmedian $1,738 · 10th to 90th $851 to $2,239
$1K$2K$5Kfacility $1,995professional $1,738

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
$3,548.13
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,905.46
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,412.54
Median
$1,778.28
Typical High
$2,454.71
Medica
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,949.84
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,778.28
Typical High
$6,309.57
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
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
$1,621.81
Median
$1,621.81
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,230.27
Typical High
$1,659.59
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
$794.33
Median
$1,513.56
Typical High
$2,238.72
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,778.28
Typical High
$2,089.30

Where South 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.

South Dakota· 7th of 51

$1,778

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.