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Delayed Repair of the Achilles Tendon

Montana rates for HCPCS 27654

Rebuilds the Achilles tendon in a delayed operation, done when a rupture was never repaired or when an earlier repair has given way and the tendon ends have drawn apart and scarred. Because the gap can no longer simply be stitched closed, the surgeon may bring in a nearby tendon or a graft to bridge it, which is part of the same service. Recovery takes longer than for a repair done soon after the original injury.

Rates data updated October 2026.

How much does Delayed Repair of the Achilles Tendon cost?

$2,323

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $2,323 for this procedure. That total is two separate charges: $1,148 to the doctor who performs it, and $1,175 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,148$851 to $1,148
Facility feeThe hospital or surgery center$1,175$1,148 to $1,413

How much rates vary

Facilitymedian $1,175 · 10th to 90th $1,000 to $7,079Professionalmedian $1,148 · 10th to 90th $631 to $1,202
$100$200$500$1K$2K$5K$10Kfacility $1,175professional $1,148

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$724.44
Typical High
$1,174.90
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$7,585.78
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$1,318.26
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,230.27
Providence
Setting
Facility
Modifier
None
Typical Low
$1,148.15
Median
$7,585.78
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,023.29
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$2,089.30
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,174.90
Typical High
$1,348.96

Where Montana sits

The same service costs 6.0 times more in Colorado than in Montana. 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.

Physician feeFacility fee

Montana· 51st of 51

$2,323

$1,148 physician + $1,175 facility

CO $13,882MT $2,323

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.