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Open Repair Of A Torn Knee Cartilage Pad

Michigan 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?

$4,898

Typical facility fee. In Michigan, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $2,188 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $832 to $7,586
$1K$2K$5K$10K$20Kfacility $4,898

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
$831.76
Median
$4,897.79
Typical High
$6,918.31
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$1,905.46
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$7,585.78
Typical High
$15,135.61

Where Michigan 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.

Michigan· 16th of 50

$4,898

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.