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Open Repair Of A Torn Knee Cartilage Pad

South Dakota 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?

$1,096

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $1,096 for this service. Most negotiated rates run $891 to $1,288.

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 $1,122 · 10th to 90th $776 to $4,365Professionalmedian $1,096 · 10th to 90th $724 to $1,413
$1K$2K$5K$10Kfacility $1,122professional $1,096

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
$645.65
Median
$4,365.16
Typical High
$4,365.16
Medica
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,071.52
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,445.44
Typical High
$1,445.44
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,096.48
Typical High
$1,288.25
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$245.47
Median
$245.47
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$14,791.08

Where South Dakota 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.

South Dakota· 47th of 50

$1,096

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.