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Thumb Base Joint Fusion With Graft

Hawaii rates for HCPCS 26842

This procedure permanently fuses the joint at the base of the thumb, where the thumb meets the wrist, using a piece of bone graft to help the two bones grow together into one solid unit. It is done to relieve pain and instability from arthritis or injury when other treatments have not worked. Fusing the joint eliminates motion there but can significantly reduce pain.

Rates data updated October 2026.

How much does Thumb Base Joint Fusion With Graft cost?

$2,891

Typical total for the visit. In Hawaii, October 2026.

Insurers have agreed to pay about $2,891 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $1,820 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$148 to $1,072
Facility feeThe hospital or surgery center$1,820$1,549 to $3,020

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,380 to $5,495Professionalmedian $1,072 · 10th to 90th $30 to $1,175
$50$200$1K$5Kfacility $1,820professional $1,072

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
$1,318.26
Median
$2,818.38
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$812.83
Median
$812.83
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,023.29
Typical High
$1,412.54
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,071.52
Typical High
$1,071.52
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$147.91
Typical High
$5,888.44

Where Hawaii sits

The same service costs 4.5 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Hawaii· 50th of 51

$2,891

$1,072 physician + $1,820 facility

CO $12,395MT $2,731

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.