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Boutonniere Tendon Repair With Tendon Graft

Washington 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 $1,905 · 10th–90th $891$13,1830%5%10th90th$1,905Professionalmedian $1,202 · 10th–90th $708$2,2910%10%10th90th$1,202$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
$1,071.52
Median
$6,456.54
Typical High
$18,620.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,096.48
Typical High
$2,238.72
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,000.00
Typical High
$17,782.79
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$758.58
Typical High
$3,715.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,288.25
Typical High
$2,344.23
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,548.82
Typical High
$4,265.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,818.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,445.44
Typical High
$1,548.82
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$2,137.96
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$9,772.37
Typical High
$17,378.01
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,584.89
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$10,232.93
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$2,137.96
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$933.25
Typical High
$1,737.80