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Tendon Transfer in the Lower Leg

Texas 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?

$3,890

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $3,890 for this service. Most negotiated rates run $1,862 to $7,413.

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 $3,890 · 10th to 90th $912 to $13,804
$1K$2K$5K$10K$20Kfacility $3,890

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
$3,715.35
Typical High
$11,481.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$8,912.51
Typical High
$17,782.79
Baylor Scott & White
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$3,235.94
Typical High
$5,128.61
Christus
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$2,884.03
Typical High
$2,884.03
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
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,621.81
Providence
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,165.95
Typical High
$12,589.25

Where Texas 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.

Texas· 32nd of 50

$3,890

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.