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Thumb Rebuilt With Great-Toe Tissue And Bone Graft

New Jersey rates for HCPCS 26551

Microsurgery that rebuilds a missing thumb using the soft-tissue covering of the great toe: the skin, nail and pulp are lifted from the toe with their own artery, veins and nerves, wrapped around a bone graft shaped to form the new thumb, and the vessels and nerves are joined to those of the hand under a microscope. The skeleton of the great toe stays in the foot, and the raw area left there is resurfaced. The rebuilt thumb is intended to restore pinch and grip.

Rates data updated July 2026.

How much does Thumb Rebuilt With Great-Toe Tissue And Bone Graft cost?

$4,169

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $3,467 from a physician practice, and about $7,943 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 5 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$3,467$3,020 to $5,754
FacilityA hospital or hospital-owned outpatient department$7,943$6,026 to $10,233

How much rates vary

Facilitymedian $7,943 · 10th to 90th $4,467 to $12,303Professionalmedian $3,467 · 10th to 90th $2,884 to $10,965
$2K$5K$10K$20Kfacility $7,943professional $3,467

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
$4,466.84
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,311.31
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,365.16
Typical High
$10,232.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,715.35
Typical High
$5,128.61
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$27,542.29
Typical High
$38,018.94
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,981.07
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,388.44
Typical High
$7,585.78

Where New Jersey sits

The same service costs 2.6 times more in Alaska than in Kentucky. 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.

New Jersey· 21st of 51

$4,169

AK $8,128KY $3,162

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.