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Lengthening A Tendon In The Hand Or Finger

California rates for HCPCS 26478

Surgically lengthens a tendon in the hand or finger that has become too short and is holding the finger in a fixed position. The tendon is divided in a stepped fashion and repaired at a longer length, so the finger can move through a fuller range. It covers one tendon.

Rates data updated July 2026.

How much does Lengthening A Tendon In The Hand Or Finger cost?

$4,266

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $4,266 for this service. Most negotiated rates run $2,818 to $6,310.

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.

How much rates vary

Facilitymedian $4,467 · 10th to 90th $1,660 to $13,183Professionalmedian $832 · 10th to 90th $468 to $1,950
$100$500$2K$10Kfacility $4,467professional $832

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
$1,737.80
Median
$5,888.44
Typical High
$17,378.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$4,466.84
Typical High
$12,882.50
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$3,548.13
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,659.59
Typical High
$3,090.30
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$630.96
Typical High
$1,096.48
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,949.84
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$19,498.45
Providence
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$870.96
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,466.84
Typical High
$9,549.93

Where California sits

The same service costs 14.5 times more in Indiana than in West Virginia. 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.

California· 10th of 50

$4,266

IN $9,333WV $646

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.