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Open Repair Of A Torn Knee Cartilage Pad

Montana 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 October 2026.

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

$2,070

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $2,070 for this procedure. That total is two separate charges: $1,023 to the doctor who performs it, and $1,047 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,023$676 to $1,047
Facility feeThe hospital or surgery center$1,047$1,047 to $1,288

How much rates vary

Facilitymedian $1,047 · 10th to 90th $912 to $4,571Professionalmedian $1,023 · 10th to 90th $537 to $1,096
$100$200$500$1K$2K$5K$10Kfacility $1,047professional $1,023

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$645.65
Typical High
$1,047.13
BCBS
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
BCBS
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$1,047.13
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$8,912.51
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,202.26
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$1,047.13
Typical High
$1,122.02
Providence
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$8,912.51
Typical High
$16,982.44
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$912.01
Typical High
$1,047.13
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,884.03
Typical High
$4,570.88
United
Setting
Professional
Modifier
None
Typical Low
$954.99
Median
$1,071.52
Typical High
$1,202.26

Where Montana sits

The same service costs 5.4 times more in Alaska than in Montana. 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

Montana· 51st of 51

$2,070

$1,023 physician + $1,047 facility

AK $11,142MT $2,070

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.