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Open Repair Of A Torn Knee Cartilage Pad

North Carolina 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?

$2,344

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,344 for this service. Most negotiated rates run $871 to $8,128.

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.

How much rates vary

Facilitymedian $2,344 · 10th to 90th $631 to $10,965Professionalmedian $1,072 · 10th to 90th $1,072 to $1,479
$1$10$100$1K$10Kfacility $2,344professional $1,072

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
$630.96
Median
$6,309.57
Typical High
$10,471.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,047.13
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,479.11
Medcost
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,380.38
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$8,709.64
Typical High
$14,791.08
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$33,884.42
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$3,090.30

Where North Carolina 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.

North Carolina· 38th of 50

$2,344

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.