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Open Repair Of A Torn Knee Cartilage Pad

Washington, DC 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?

$5,129

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $2,138 to $6,918.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,623 · 10th to 90th $676 to $7,762Professionalmedian $1,318 · 10th to 90th $646 to $1,514
$1K$2K$5K$10K$20Kfacility $5,623professional $1,318

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. Small sample; interpret with caution. 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
$5,128.61
Typical High
$7,762.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$1,318.26
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$14,791.08
Typical High
$38,018.94

Where Washington, DC sits

The same service costs 16.2 times more in Indiana than in West Virginia. 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, DC· 14th of 50

$5,129

IN $10,233WV $631

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.