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Kneecap Resurfacing With An Implant

North Carolina rates for HCPCS 27438

Resurfaces the back of the kneecap, replacing the worn surface with an implant that glides against the groove of the thigh bone. The rest of the knee joint is left alone. It is done for pain at the front of the knee coming from a badly worn kneecap surface.

Rates data updated July 2026.

How much does Kneecap Resurfacing With An Implant cost?

$1,660

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $1,096 to $7,586.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $832 to $11,749Professionalmedian $1,380 · 10th to 90th $1,380 to $1,950
$1K$2K$5K$10K$20Kfacility $1,660professional $1,380

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. 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
Global
Typical Low
$831.76
Median
$3,090.30
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,348.96
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,949.84
Medcost
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,122.02
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$13,803.84
Typical High
$26,302.68
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$42,657.95
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$3,890.45

Where North Carolina sits

The same service costs 38.9 times more in Indiana than in North Dakota. 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· 45th of 50

$1,660

IN $32,359ND $832

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.