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Nonsurgical Care of Thigh Bone Break at Knee

New Jersey rates for HCPCS 27501

Treatment without surgery of a break at the lower end of the thigh bone, just above or running into the knuckle-shaped end that forms the knee joint. The leg is supported in a cast, splint or brace and the position is followed with X-rays while the bone heals.

Rates data updated July 2026.

How much does Nonsurgical Care of Thigh Bone Break at Knee cost?

$6,413

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $6,413 for this procedure. That total is two separate charges: $525 to the doctor who performs it, and $5,888 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$525$490 to $794
Facility feeThe hospital or surgery center$5,888$4,365 to $7,943

How much rates vary

Facilitymedian $5,888 · 10th to 90th $891 to $10,471Professionalmedian $525 · 10th to 90th $447 to $2,512
$500$1K$2K$5K$10Kfacility $5,888professional $525

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
$891.25
Median
$6,025.60
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$1,621.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$954.99
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$812.83
Typical High
$1,230.27
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$1,230.27

Where New Jersey sits

The same service costs 9.9 times more in New Jersey than in Maryland. 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

New Jersey· 1st of 49

$6,413

$525 physician + $5,888 facility

NJ $6,413MD $648

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.