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Open Repair Of A Break Just Above The Knee

Georgia 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?

$4,365

Typical facility fee. In Georgia, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $2,188 to $6,310.

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 $4,467 · 10th to 90th $1,349 to $9,550Professionalmedian $1,585 · 10th to 90th $1,202 to $3,802
$500$1K$2K$5K$10K$20Kfacility $4,467professional $1,585

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
$1,819.70
Median
$5,370.32
Typical High
$10,232.93
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,467.37
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$2,511.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,584.89
Typical High
$3,801.89
Kaiser Permanente
Setting
Professional
Modifier
22 · Increased work
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$3,630.78
Kaiser Permanente
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Kaiser Permanente
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$6,309.57
Typical High
$12,022.64

Where Georgia 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.

Georgia· 24th of 50

$4,365

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.