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Tendon Transfer in the Lower Leg

Washington 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?

$2,291

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $2,291 for this service. Most negotiated rates run $1,230 to $13,183.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,291 · 10th to 90th $955 to $24,547
$1K$2K$5K$10K$20Kfacility $2,291

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
$1,000.00
Median
$6,025.60
Typical High
$28,183.83
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,387.21
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,071.52
Typical High
$10,000.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,513.56
Typical High
$9,549.93
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$1,479.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$2,187.76
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$21,379.62
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$21,379.62
Typical High
$41,686.94

Where Washington 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.

Washington· 41st of 50

$2,291

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.