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Tendon Transfer in the Lower Leg

Hawaii 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 October 2026.

How much does Tendon Transfer in the Lower Leg cost?

$2,775

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

Insurers have agreed to pay about $2,775 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $1,820 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$955$129 to $955
Facility feeThe hospital or surgery center$1,820$1,549 to $3,548

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,380 to $5,495Professionalmedian $955 · 10th to 90th $30 to $1,000
$50$200$1K$5Kfacility $1,820professional $955

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
$1,318.26
Median
$2,818.38
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$758.58
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$2,290.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$954.99
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$870.96
Typical High
$1,202.26
United
Setting
Facility
Modifier
None
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$954.99
Typical High
$954.99
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$29.51
Median
$128.82
Typical High
$5,888.44

Where Hawaii sits

The same service costs 5.7 times more in Colorado 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

$2,775

$955 physician + $1,820 facility

CO $13,613MT $2,377

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.