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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 October 2026.

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

$3,314

Typical total for the visit. In South Dakota, October 2026.

Insurers have agreed to pay about $3,314 for this procedure. That total is two separate charges: $1,318 to the doctor who performs it, and $1,995 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,318$977 to $1,549
Facility feeThe hospital or surgery center$1,995$1,122 to $2,138

How much rates vary

Facilitymedian $1,995 · 10th to 90th $912 to $3,162Professionalmedian $1,318 · 10th to 90th $646 to $1,778
$1K$2K$5K$10Kfacility $1,995professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$645.65
Median
$645.65
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$630.96
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$933.25
Median
$1,348.96
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,071.52
Median
$1,445.44
Typical High
$1,862.09
Medica
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$1,479.11
Typical High
$2,398.83
Medica
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$1,445.44
Typical High
$4,786.30
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Midlands
Setting
Facility
Modifier
None
Typical Low
$1,288.25
Median
$2,137.96
Typical High
$7,413.10
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,412.54
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,000.00
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$2,398.83
United
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$1,230.27
Typical High
$1,778.28
Wellmark
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,548.82

Where South Dakota 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

South Dakota· 37th of 51

$3,314

$1,318 physician + $1,995 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.