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Lengthening or Shortening Several Leg Tendons

Hawaii rates for HCPCS 27686

More than one tendon in the lower leg or ankle is surgically lengthened or shortened through a single incision, to correct tightness or slack that is pulling the foot into a poor position. It is used for problems such as a foot held pointing down or turned inward. Each tendon treated is billed separately.

Rates data updated October 2026.

How much does Lengthening or Shortening Several Leg Tendons cost?

$2,122

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

Insurers have agreed to pay about $2,122 for this procedure. That total is two separate charges: $676 to the doctor who performs it, and $1,445 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$676$646 to $776
Facility feeThe hospital or surgery center$1,445$1,259 to $3,020

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,122 to $4,467Professionalmedian $676 · 10th to 90th $30 to $871
$50$100$200$500$1K$2K$5Kfacility $1,445professional $676

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$1,047.13
Median
$2,818.38
Typical High
$4,466.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$512.86
Median
$524.81
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
HMSA
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$831.76
Typical High
$870.96
HMSA
Setting
Professional
Modifier
51 · Multiple procedures
Typical Low
$371.54
Median
$416.87
Typical High
$436.52
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$616.60
Typical High
$851.14
United
Setting
Facility
Modifier
None
Typical Low
$2,238.72
Median
$3,019.95
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$676.08
Typical High
$676.08
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$676.08
Typical High
$758.58

Where Hawaii sits

The same service costs 4.3 times more in Wisconsin 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

Hawaii· 49th of 51

$2,122

$676 physician + $1,445 facility

WI $7,406MT $1,722

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.