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Tendon Transfer in the Lower Leg

Pennsylvania 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?

$4,898

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $3,020 to $8,128.

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 $4,898 · 10th to 90th $1,175 to $15,849
$1K$2K$5K$10K$20Kfacility $4,898

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
$1,174.90
Median
$5,011.87
Typical High
$15,848.93
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$4,570.88
Typical High
$16,595.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$13,803.84
Typical High
$34,673.69
Independence Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$15,848.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,786.30
Typical High
$15,135.61
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,511.89
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$21,379.62

Where Pennsylvania 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.

Pennsylvania· 18th of 50

$4,898

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.