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Repair Of A Tear In The Sheath Around Leg Muscles

South Dakota 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?

$794

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $603 to $1,023.

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.

How much rates vary

Facilitymedian $871 · 10th to 90th $501 to $3,090Professionalmedian $776 · 10th to 90th $525 to $1,072
$500$1K$2K$5Kfacility $871professional $776

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
$398.11
Median
$3,090.30
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,380.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$891.25
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$6,760.83

Where South Dakota 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.

South Dakota· 45th of 50

$794

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.