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Tendon Transfer in the Lower Leg

South Dakota 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?

$1,230

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,230 for this service. Most negotiated rates run $977 to $1,479.

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.

How much rates vary

Facilitymedian $977 · 10th to 90th $977 to $1,950Professionalmedian $1,259 · 10th to 90th $851 to $1,622
$1K$2K$5K$10Kfacility $977professional $1,259

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
$977.24
Median
$977.24
Typical High
$1,621.81
Avera
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,513.56
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,258.93
Typical High
$1,949.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,698.24
Typical High
$1,698.24
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,258.93
Typical High
$1,479.11
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08

Where South Dakota 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.

South Dakota· 48th of 50

$1,230

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.