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Extensive Tumor Removal, Outer Lower-Leg Bone

North Dakota rates for HCPCS 27646

Removes a tumor from the fibula, the slender outer bone of the lower leg, taking a surrounding cuff of healthy tissue with it to reduce the chance the growth comes back. This wide approach is used for aggressive or cancerous bone tumors rather than small, clearly harmless ones. Depending on how much bone is taken, reconstruction may be needed afterwards.

Rates data updated July 2026.

How much does Extensive Tumor Removal, Outer Lower-Leg Bone cost?

$2,951

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $3,020 from a physician practice, and about $1,514 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,020$1,514 to $3,548
FacilityA hospital or hospital-owned outpatient department$1,514$1,514 to $1,995

How much rates vary

Facilitymedian $1,514 · 10th to 90th $1,514 to $8,511Professionalmedian $3,020 · 10th to 90th $1,380 to $3,981
$2K$5Kfacility $1,514professional $3,020

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
$1,513.56
Median
$1,513.56
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,513.56
Typical High
$3,981.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$3,981.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,884.03
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,862.09
Typical High
$2,570.40
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,630.27
Typical High
$11,220.18
United
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$2,041.74
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$2,570.40
Typical High
$3,715.35

Where North Dakota sits

The same service costs 3.3 times more in California than in Kentucky. 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.

North Dakota· 5th of 51

$2,951

CA $4,677KY $1,413

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.