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Boutonniere Tendon Repair With Tendon Graft

Ohio rates for HCPCS 26428

A surgery to repair the central part of the tendon on top of a finger that straightens the middle knuckle, a structure that when damaged causes the finger to curl into a specific bent posture known as a boutonniere deformity. This version uses a tendon graft, taken from elsewhere in the body, to reconstruct the damaged tendon rather than reconnecting the original tendon ends directly. It is performed as a delayed, secondary repair of the injury rather than as the initial treatment.

Rates data updated July 2026.

Facilitymedian $4,677 · 10th–90th $1,479$10,9650%10%10th90th$4,677Professionalmedian $871 · 10th–90th $692$2,4550%20%10th90th$871$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$6,456.54
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$7,413.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$3,548.13
Typical High
$15,135.61
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,548.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,288.25
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,513.56
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,548.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$5,495.41
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$870.96
Typical High
$1,380.38