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Open Release Of The Outer Kneecap Tissue

Montana rates for HCPCS 27425

Cuts the tight fibrous tissue along the outer edge of the kneecap through an incision, so the kneecap can sit and track properly in its groove. It is done for pain or a kneecap that pulls or tilts towards the outer side of the knee.

Rates data updated October 2026.

How much does Open Release Of The Outer Kneecap Tissue cost?

$1,483

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

Insurers have agreed to pay about $1,483 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $759 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$724$490 to $741
Facility feeThe hospital or surgery center$759$759 to $933

How much rates vary

Facilitymedian $759 · 10th to 90th $631 to $2,884Professionalmedian $724 · 10th to 90th $372 to $759
$100$200$500$1K$2K$5Kfacility $759professional $724

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
$398.11
Median
$478.63
Typical High
$933.25
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$2,630.27
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$758.58
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$758.58
Typical High
$812.83
Providence
Setting
Facility
Modifier
None
Typical Low
$741.31
Median
$2,630.27
Typical High
$7,585.78
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$645.65
Typical High
$741.31
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
$660.69
Median
$741.31
Typical High
$851.14

Where Montana sits

The same service costs 5.0 times more in Wisconsin 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

$1,483

$724 physician + $759 facility

WI $7,458MT $1,483

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.