CPT 26055 Surgery - Musculoskeletal

How Much Does Incise Finger Tendon Sheath Cost?

Also known as: Incise finger tendon sheath (CPT 26055)

Trigger finger release surgery to treat a finger that catches or locks when you try to bend it.

The total estimated cost of Incise Finger Tendon Sheath (CPT 26055) is $967 to $1,812, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $288.

Total Estimated Cost of Care

$967 — $1,812

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$288
Hospital Facility Fee
$863
Anesthesia (est.)
$58
Important: The physician fee of $288 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$288
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$630
Non-facility setting

Patient Guide: Incise Finger Tendon Sheath

What you need to know before your appointment

What to Expect

Under local anesthesia, the surgeon makes a small incision at the base of the finger and releases the tight tendon sheath. You can move the finger immediately after.

How Long Does It Take?

10-20 minutes

Common Reasons Doctors Order This

Trigger finger (stenosing tenosynovitis), finger locking or catching, painful clicking when bending the finger

How to Prepare

No special preparation. You can usually drive yourself. The finger can be used gently right away. Full recovery takes a few weeks.

Procedures Commonly Done Together

These procedures are frequently performed alongside Incise finger tendon sheath

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How to Reduce Your Cost for Incise finger tendon sheath

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($630) differs from the facility rate ($288). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

3.03
Work RVU
5.00
Practice Expense RVU
0.58
Malpractice RVU
18.85
Total RVU

Payment = Total RVU (18.85) x CF ($33.40) = $630

Frequently Asked Questions

How much does Incise finger tendon sheath cost?

The Medicare facility rate for Incise finger tendon sheath is $288. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Incise finger tendon sheath cost without insurance?

Without insurance, the cost of Incise finger tendon sheath can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Incise finger tendon sheath?

Most commercial health insurance plans and Medicare cover Incise finger tendon sheath when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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