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Repair Of A Tear In The Sheath Around Leg Muscles

North Carolina 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?

$851

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $851 for this service. Most negotiated rates run $537 to $2,138.

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.

How much rates vary

Facilitymedian $851 · 10th to 90th $372 to $7,244Professionalmedian $832 · 10th to 90th $832 to $1,318
$500$1K$2K$5K$10Kfacility $851professional $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. 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
$501.19
Median
$1,479.11
Typical High
$7,244.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$562.34
Typical High
$2,818.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$831.76
Typical High
$1,318.26
Medcost
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$588.84
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,456.54
Typical High
$10,715.19
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$28,840.32

Where North Carolina 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.

North Carolina· 44th of 50

$851

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.