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Tendon Transfer in the Lower Leg

California 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?

$8,913

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $8,913 for this service. Most negotiated rates run $6,166 to $13,183.

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 $9,333 · 10th to 90th $3,467 to $18,197Professionalmedian $832 · 10th to 90th $537 to $1,738
$100$500$2K$10Kfacility $9,333professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$7,943.28
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,471.29
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$6,456.54
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$3,311.31
Typical High
$6,918.31
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$794.33
Typical High
$1,122.02
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,905.46
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$33,884.42
Typical High
$33,884.42
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$977.24
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,022.64
Typical High
$25,118.86

Where California sits

The same service costs 17.0 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.

California· 4th of 50

$8,913

WI $12,589MD $741

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.