EX-FILING FEES

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Calculation of Filing Fee Tables
S-8
TACTILE SYSTEMS TECHNOLOGY INC

Table 1: Newly Registered Securities

	Security Type	Security Class Title	Fee Calculation Rule	Amount Registered	Proposed Maximum Offering Price Per Unit	Maximum Aggregate Offering Price	Fee Rate	Amount of Registration Fee
1	Equity	Common Stock, par value $0.001 per share, reserved for issuance under the Company Employee Stock Purchase Plan	Other	224,381	$ 22.66	$ 5,084,473.46	0.0001381	$ 702.17
Total Offering Amounts:						$ 5,084,473.46		$ 702.17
Total Fee Offsets:								$ 0.00
Net Fee Due:								$ 702.17

Offering Note

¹	(a) Pursuant to Rule 416(a) of the Securities Act of 1933, as amended (the "Securities Act"), this Registration Statement shall also cover any additional shares of the Registrant's Common Stock that become issuable under the Employee Stock Purchase Plan (the "ESPP") by reason of any stock dividend, stock split, recapitalization or other similar transaction pursuant to the anti-dilution provisions of the ESPP. (b) The Amount Registered represents 224,381 shares of Common Stock reserved for future issuance under the ESPP. (c) The Maximum Offering Price Per Unit is estimated in accordance with Rule 457(h) of the Securities Act. Such computation is based on the average of the high and low prices as reported on the Nasdaq Global Market on April 30, 2026.

Table 2: Fee Offset Claims and Sources	☑Not Applicable

		Registrant or Filer Name	Form or Filing Type	File Number	Initial Filing Date	Filing Date	Fee Offset Claimed	Security Type Associated with Fee Offset Claimed	Security Title Associated with Fee Offset Claimed	Unsold Securities Associated with Fee Offset Claimed	Unsold Aggregate Offering Amount Associated with Fee Offset Claimed	Fee Paid with Fee Offset Source
Rule 457(p)
Fee Offset Claims
Fee Offset Sources