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Rebuilding a Torn Knuckle-Joint Side Ligament

Vermont rates for HCPCS 26542

Rebuilds a torn ligament on the side of the joint where a finger or thumb meets the hand, restoring the sideways stability needed for pinching and gripping. It is used when a ligament has been torn away or stretched out and the joint gives way under load. The joint is usually splinted afterwards while the reconstruction heals.

Rates data updated October 2026.

How much does Rebuilding a Torn Knuckle-Joint Side Ligament cost?

$1,148

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $912 to $1,288.

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.

How much rates vary

Facilitymedian $1,259 · 10th to 90th $575 to $4,677Professionalmedian $1,148 · 10th to 90th $813 to $1,514
$200$500$1K$2K$5Kfacility $1,259professional $1,148

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
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$870.96
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$2,630.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$575.44
Median
$575.44
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$1,288.25
Typical High
$1,288.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$933.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,621.81

Where Vermont sits

The same service costs 7.2 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.

Vermont· 17th of 51

$1,148

AK $2,951TX $407

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.