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Nonsurgical Care Of Hip Bone Bump Fracture

New Jersey rates for HCPCS 27246

Treatment of a break in the bony bump on the outer side of the upper thigh bone, where the piece has stayed in acceptable position and is not moved. Care consists of pain control, limiting weight on the leg, and follow-up examinations and X-rays to confirm the bone is knitting. No incision is made and no hardware is placed.

Rates data updated July 2026.

How much does Nonsurgical Care Of Hip Bone Bump Fracture cost?

$5,778

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $5,778 for this procedure. That total is two separate charges: $407 to the doctor who performs it, and $5,370 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$407$380 to $631
Facility feeThe hospital or surgery center$5,370$3,311 to $7,079

How much rates vary

Facilitymedian $5,370 · 10th to 90th $676 to $10,471Professionalmedian $407 · 10th to 90th $339 to $1,995
$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $5,370professional $407

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
$676.08
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$288.40
Median
$363.08
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$398.11
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$537.03
Typical High
$1,258.93
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$537.03
Typical High
$741.31
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,230.27
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$426.58
Typical High
$954.99

Where New Jersey sits

The same service costs 10.9 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Jersey $5,778 · 1st of 49
NJ $5,778MD $530

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.