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Boutonniere Tendon Repair With Tendon Graft

Utah 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 $5,129 · 10th–90th $1,023$8,9130%10%10th90th$5,129Professionalmedian $1,023 · 10th–90th $708$4,5710%10%20%10th90th$1,023$50.0$200.0$1.0K$5.0K

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
$1,023.29
Median
$4,570.88
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,023.29
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,000.00
Typical High
$1,659.59
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,698.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$9,772.37
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,698.24
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$1,621.81
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,202.26
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$812.83
Typical High
$1,288.25