go back

Open Repair Of A Break Just Above The Knee

California rates for HCPCS 27513

Open surgery to repair a broken thigh bone at its lower end, just above the knee. The pieces are exposed, realigned under direct view, and usually held with a plate, screws, or a rod so the leg lines up correctly while it heals. It is used for breaks too unstable or displaced to be treated in a cast.

Rates data updated July 2026.

How much does Open Repair Of A Break Just Above The Knee cost?

$9,772

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $9,772 for this service. Most negotiated rates run $6,607 to $13,804.

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 $10,471 · 10th to 90th $3,388 to $17,783Professionalmedian $1,318 · 10th to 90th $912 to $2,630
$100$500$2K$10Kfacility $10,471professional $1,318

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
$3,981.07
Median
$9,120.11
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$11,220.18
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$5,011.87
Typical High
$10,232.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$2,691.53
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,230.27
Typical High
$1,659.59
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$2,818.38
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$51,286.14
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,584.89
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$12,302.69
Typical High
$26,302.68

Where California sits

The same service costs 14.8 times more in Wyoming 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.

California· 4th of 50

$9,772

WY $18,197ND $1,230

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.