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Open Repair Of A Torn Knee Cartilage Pad

Kentucky 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?

$3,715

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $3,715 for this service. Most negotiated rates run $2,754 to $7,586.

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.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $851 to $9,550
$1K$2K$5K$10Kfacility $3,715

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
$851.14
Typical High
$9,772.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$4,073.80
Typical High
$9,549.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$812.83
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,047.13
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$4,677.35
Typical High
$8,511.38

Where Kentucky 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.

Kentucky· 31st of 50

$3,715

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.