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Boutonniere Tendon Repair With Tendon Graft

Pennsylvania 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.

How much does Boutonniere Tendon Repair With Tendon Graft cost?

$5,079

Typical total for the visit. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,079 for this procedure. That total is two separate charges: $813 to the doctor who performs it, and $4,266 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 9 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$813$759 to $977
Facility feeThe hospital or surgery center$4,266$2,630 to $6,607

How much rates vary

Facilitymedian $4,266 · 10th to 90th $1,023 to $8,318Professionalmedian $813 · 10th to 90th $724 to $1,259
$1K$2K$5K$10Kfacility $4,266professional $813

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
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$812.83
Typical High
$1,148.15
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,585.78
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,548.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$1,621.81
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,659.59
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,981.07
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$3,630.78
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$954.99
Typical High
$1,023.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$776.25
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$4,365.16
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$912.01
Typical High
$1,513.56

Where Pennsylvania sits

The same service costs 7.0 times more in Indiana than in Maryland. 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

Pennsylvania· 25th of 50

$5,079

$813 physician + $4,266 facility

IN $11,046MD $1,573

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.