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Repair Of A Tear In The Sheath Around Leg Muscles

Washington, DC rates for HCPCS 27656

Closes a gap in the fascia, the tough fibrous sheet that wraps the muscles of the lower leg. Where the sheath has split, muscle pushes through and forms a soft bulge that can ache or catch with activity. The surgeon repairs or releases the defect so the bulge settles.

Rates data updated July 2026.

How much does Repair Of A Tear In The Sheath Around Leg Muscles cost?

$4,074

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $4,074 for this service. Most negotiated rates run $1,349 to $4,571.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $363 to $7,762Professionalmedian $794 · 10th to 90th $575 to $1,349
$500$1K$2K$5K$10K$20Kfacility $4,074professional $794

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$4,073.80
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,348.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$10,000.00
Typical High
$26,302.68

Where Washington, DC sits

The same service costs 18.2 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.

Washington, DC· 12th of 50

$4,074

IN $9,333WV $513

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.