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Pinning of a Break at the Lower End of the Thigh Bone

California rates for HCPCS 27509

Holds a break at the lower end of the thigh bone near the knee in place with pins or screws inserted through small punctures in the skin, guided by X-ray, without opening the fracture site. The hardware keeps the fragments aligned while the bone knits. It is used when the pieces can be lined up without a full incision.

Rates data updated July 2026.

How much does Pinning of a Break at the Lower End of the Thigh Bone cost?

$7,413

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $4,898 to $10,471.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $2,754 to $16,596Professionalmedian $813 · 10th to 90th $447 to $1,585
$100$500$2K$10Kfacility $7,413professional $813

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
$2,951.21
Median
$7,079.46
Typical High
$19,054.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$15,848.93
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$5,128.61
Typical High
$10,964.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,691.53
Typical High
$8,912.51
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$549.54
Typical High
$1,047.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,584.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$45,708.82
Providence
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$870.96
Typical High
$1,318.26
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,585.78
Typical High
$16,218.10

Where California sits

The same service costs 33.9 times more in Indiana than in West Virginia. 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.

California· 9th of 50

$7,413

IN $22,387WV $661

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.