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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 October 2026.

How much does Tendon Transfer in the Lower Leg cost?

$4,332

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $4,332 for this procedure. That total is two separate charges: $1,514 to the doctor who performs it, and $2,818 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,514$1,023 to $1,778
Facility feeThe hospital or surgery center$2,818$1,096 to $3,162

How much rates vary

Facilitymedian $2,818 · 10th to 90th $1,072 to $4,467Professionalmedian $1,514 · 10th to 90th $741 to $2,042
$1K$2K$5K$10Kfacility $2,818professional $1,514

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
$741.31
Median
$741.31
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$630.96
Median
$691.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,096.48
Median
$2,187.76
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,230.27
Median
$1,698.24
Typical High
$2,187.76
Medica
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,737.80
Typical High
$3,311.31
Medica
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,698.24
Typical High
$12,022.64
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$3,162.28
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,659.59
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,479.11
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$3,311.31
United
Setting
Professional
Modifier
None
Typical Low
$707.95
Median
$1,479.11
Typical High
$2,041.74
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,479.11
Median
$1,513.56
Typical High
$1,778.28

Where South Dakota 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

South Dakota· 35th of 51

$4,332

$1,514 physician + $2,818 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.