Open Repair Of A Torn Knee Cartilage Pad

Nationwide rates for HCPCS 27403

Opens the knee joint through an incision so a torn meniscus — the C-shaped cartilage pad that cushions the knee — can be stitched back together. Repairing the tear keeps the cushion in place instead of trimming the torn part away. It is done for tears in a part of the meniscus with enough blood supply to heal.

Rates data updated July 2026.

How much does Open Repair Of A Torn Knee Cartilage Pad cost?

$6,866

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $6,866 for this procedure. That total is two separate charges: $977 to the doctor who performs it, and $5,888 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

14% physician fee86% facility fee

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 55 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$977	$724 to $1,445
Facility feeThe hospital or surgery center	The hospital or surgery center	$5,888	$2,570 to $10,000

How much rates vary

Facilitymedian $5,888 · 10th to 90th $955 to $14,791Professionalmedian $977 · 10th to 90th $617 to $2,570

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $891.25 Median $4,677.35 Typical High $12,302.69	Facility	Global	$891.25	$4,677.35	$12,302.69
BCBS Setting Facility Modifier Global Typical Low $3,162.28 Median $8,511.38 Typical High $16,982.44	Facility	Global	$3,162.28	$8,511.38	$16,982.44
Cigna Setting Facility Modifier Global Typical Low $851.14 Median $1,949.84 Typical High $6,309.57	Facility	Global	$851.14	$1,949.84	$6,309.57
Cigna Setting Facility Modifier AS · PA/NP assist Typical Low $104.71 Median $104.71 Typical High $104.71	Facility	AS · PA/NP assist	$104.71	$104.71	$104.71
United Setting Facility Modifier Global Typical Low $1,862.09 Median $5,754.40 Typical High $14,791.08	Facility	Global	$1,862.09	$5,754.40	$14,791.08

What it costs in each state

The same service costs 4.6 times more in California than in South Dakota. 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.

Physician feeFacility fee

Touch or drag across the chart to see any state's rate.

CA $10,291SD $2,218

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.