Open carpal tunnel surgery costs range from $2,450 to $4,600 for cash paying patients at facilities publishing prices openly on our site. Open carpal tunnel release tends to cost less (sometimes considerably less) than surgery done arthroscopically / endoscopically, though not always. Open surgery costs can also vary depending on what type of anesthesia is used (local, general, or none).
Open carpal tunnel surgery prices on our site usually include applicable facility, physician, and anesthesia fees. Sometimes the combined price is called a "bundled" or "global rate". Be sure to look for information on provider pages about what is included. It's also a good idea to talk to providers over the phone, not only to verify what a listed price represents, but also because most providers have additional services and information on pricing and payment that's not listed on their pages.
If you aren't careful, you could end up paying $5,000 to $10,000 or more for open carpal tunnel surgery at some facilities. The highest rates are usually at hospitals and other larger facilities, which can have very high "list" prices and offer discounts only to insurers and street-smart cash payers. There's no need to get caught paying outlandish rates if you ask about pricing and payment beforehand.
Release of the transverse carpal ligament is known as “carpal tunnel release” surgery. It is recommended when there is static (constant, not just intermittent) numbness, muscle weakness, or atrophy, and when night-splinting no longer controls intermittent symptoms. In general, milder cases can be controlled for months to years, but severe cases are unrelenting symptomatically and are likely to result in surgical treatment.
Carpal tunnel syndrome (CTS) is a median entrapment neuropathy, that causes paresthesia, pain, numbness, and other symptoms in the distribution of the median nerve due to its compression at the wrist in the carpal tunnel. The pathophysiology is not completely understood but can be considered compression of the median nerve traveling through the carpal tunnel. It appears to be caused by a combination of genetic and environmental factors. Some of the predisposing factors include: diabetes, obesity, pregnancy, hypothyroidism, and heavy manual work or work with vibrating tools. There is, however, little clinical data to prove that lighter, repetitive tasks can cause carpal tunnel syndrome. Other disorders such as bursitis and tendinitis have been associated with repeated motions performed in the course of normal work or other activities.
The main symptom of CTS is intermittent numbness of the thumb, index, long and radial half of the ring finger. The numbness often occurs at night, with the hypothesis that the wrists are held flexed during sleep. Recent literature suggests that sleep positioning, such as sleeping on one’s side, might be an associated factor. It can be relieved by wearing a wrist splint that prevents flexion. Long-standing CTS leads to permanent nerve damage with constant numbness, atrophy of some of the muscles of the thenar eminence, and weakness of palmar abduction.
Pain in carpal tunnel syndrome is primarily numbness that is so intense that it wakes one from sleep. Pain in electrophysiologically verified CTS is associated with misinterpretation of nociception and depression.
Conservative treatments include use of night splints and corticosteroid injection. The only scientifically established disease modifying treatment is surgery to cut the transverse carpal ligament.