Tendon Transfer in the Lower Leg

Nationwide rates for HCPCS 27691

Surgery that takes a working tendon in the lower leg, detaches it from its normal attachment and reroutes it to a new point on the foot, so a muscle that still works takes over the job of one that does not. It is done for weakness or imbalance after nerve injury, or for a deformity that keeps pulling the foot into a poor position. The foot is protected in a cast or boot while the transferred tendon heals into its new attachment.

Rates data updated July 2026.

How much does Tendon Transfer in the Lower Leg cost?

$7,010

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,010 for this procedure. That total is two separate charges: $1,122 to the doctor who performs it, and $5,888 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

16% physician fee84% facility fee

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 59 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,122	$832 to $1,660
Facility feeThe hospital or surgery center	The hospital or surgery center	$5,888	$2,512 to $10,715

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,023 to $16,218Professionalmedian $1,122 · 10th to 90th $692 to $2,570

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $977.24 Median $4,466.84 Typical High $12,589.25	Facility	Global	$977.24	$4,466.84	$12,589.25
BCBS Setting Facility Modifier Global Typical Low $3,630.78 Median $10,232.93 Typical High $22,908.68	Facility	Global	$3,630.78	$10,232.93	$22,908.68
Cigna Setting Facility Modifier Global Typical Low $1,230.27 Median $2,570.40 Typical High $7,244.36	Facility	Global	$1,230.27	$2,570.40	$7,244.36
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $123.03 Median $123.03 Typical High $123.03	Facility	AS · PA/NP assist	$123.03	$123.03	$123.03
United Setting Facility Modifier Global Typical Low $2,290.87 Median $6,918.31 Typical High $16,595.87	Facility	Global	$2,290.87	$6,918.31	$16,595.87

What it costs in each state

The same service costs 12.1 times more in Wisconsin than in Maryland. 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

Touch or drag across the chart to see any state's rate.

WI $15,188MD $1,259

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.