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Removal Of Tendon Sheath Or Capsule Lesion, Leg Or Ankle

South Dakota rates for HCPCS 27630

Removes a growth from the covering of a tendon or from a joint capsule in the leg or ankle. Ganglions and cysts are examples of what can be removed. The forearm and wrist are handled as a separate service.

Rates data updated July 2026.

How much does Removal Of Tendon Sheath Or Capsule Lesion, Leg Or Ankle cost?

$741

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $741 for this service. Most negotiated rates run $603 to $955.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $562 · 10th to 90th $66 to $4,365Professionalmedian $776 · 10th to 90th $537 to $1,047
$100$200$500$1K$2K$5Kfacility $562professional $776

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
$66.07
Median
$66.07
Typical High
$5,888.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$794.33
Typical High
$1,258.93
Midlands
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,258.93
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$758.58
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83

Where South Dakota sits

The same service costs 30.9 times more in West Virginia than in North Dakota. 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.

South Dakota· 46th of 50

$741

WV $11,220ND $363

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.