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Combined Knee Ligament Reconstruction

North Carolina rates for HCPCS 27429

This reconstructs a torn or unstable knee ligament using a combined approach that repairs structures both inside the joint and along its outer edge. It's used for more significant knee instability than a single-approach repair can address, often involving more than one ligament. Tissue grafts are typically used to rebuild the damaged ligaments.

Rates data updated July 2026.

How much does Combined Knee Ligament Reconstruction cost?

$1,862

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $1,862 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $2,089 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,820$1,288 to $2,399
FacilityA hospital or hospital-owned outpatient department$2,089$1,514 to $8,511

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,230 to $10,471Professionalmedian $1,820 · 10th to 90th $1,230 to $3,388
$1K$2K$5K$10K$20K$50Kfacility $2,089professional $1,820

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
$1,230.27
Median
$4,677.35
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,318.26
Typical High
$3,090.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,089.30
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$16,982.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,698.24
Typical High
$3,019.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,884.03
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,621.81
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$13,803.84
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,570.40
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$53,703.18
Typical High
$53,703.18
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$9,120.11
Median
$9,120.11
Typical High
$10,964.78

Where North Carolina sits

The same service costs 5.0 times more in California than in Delaware. 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.

North Carolina· 24th of 51

$1,862

CA $6,310DE $1,259

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.