go back

Repair Of A Tear In The Sheath Around Leg Muscles

New York 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?

$4,365

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $1,905 to $7,413.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $575 to $10,233
$500$1K$2K$5K$10Kfacility $4,365

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
$478.63
Median
$2,951.21
Typical High
$7,762.47
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,495.41
Typical High
$12,882.50
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,659.59
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$660.69
Typical High
$1,258.93
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$50,118.72
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,981.07
Typical High
$9,332.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$1,584.89

Where New York 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.

New York· 9th of 50

$4,365

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.