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Open Rebuilding of a Ligament Inside the Knee

Montana rates for HCPCS 27428

Rebuilds a torn or stretched ligament inside the knee joint through an open incision, using tissue to replace or reinforce the damaged ligament so the knee stops giving way. It is used for instability that has not settled with therapy and bracing. The knee is protected in a brace afterwards while the new ligament takes hold.

Rates data updated October 2026.

How much does Open Rebuilding of a Ligament Inside the Knee cost?

$3,598

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

Insurers have agreed to pay about $3,598 for this procedure. That total is two separate charges: $1,778 to the doctor who performs it, and $1,820 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$1,778$1,175 to $1,778
Facility feeThe hospital or surgery center$1,820$1,778 to $2,188

How much rates vary

Facilitymedian $1,820 · 10th to 90th $1,585 to $13,804Professionalmedian $1,778 · 10th to 90th $955 to $1,905
$100$500$2K$10Kfacility $1,820professional $1,778

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
$977.24
Median
$1,096.48
Typical High
$1,819.70
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$13,803.84
Typical High
$30,902.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$1,778.28
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$2,041.74
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,778.28
Typical High
$1,905.46
Providence
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$13,803.84
Typical High
$30,902.95
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,621.81
Typical High
$1,778.28
United
Setting
Facility
Modifier
None
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$9,120.11
United
Setting
Professional
Modifier
None
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$2,089.30

Where Montana sits

The same service costs 6.3 times more in Alaska 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.

Physician feeFacility fee

Montana· 50th of 51

$3,598

$1,778 physician + $1,820 facility

AK $20,420HI $3,232

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.