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Repositioning the Bony Bump Below the Kneecap

Pennsylvania rates for HCPCS 27418

Cuts free the bony bump on the front of the shin where the kneecap tendon attaches and moves it forward, fixing it in its new position with screws. Shifting that attachment changes how the kneecap presses against the thigh bone and can relieve pain from worn cartilage behind it. The knee is protected while the bone heals in its new place.

Rates data updated July 2026.

How much does Repositioning the Bony Bump Below the Kneecap cost?

$4,898

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4,898 for this service. Most negotiated rates run $2,630 to $7,762.

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.

How much rates vary

Facilitymedian $4,898 · 10th to 90th $871 to $11,482
$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
$870.96
Median
$5,248.07
Typical High
$11,481.54
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$10,000.00
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$15,135.61
Typical High
$33,884.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$4,265.80
Typical High
$11,481.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,370.32
Typical High
$21,379.62

Where Pennsylvania sits

The same service costs 20.0 times more in Indiana than in Hawaii. 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.

Pennsylvania· 22nd of 50

$4,898

IN $20,893HI $1,047

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.