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Open Repair Of A Break Just Above The Knee

Iowa 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?

$4,786

Typical facility fee. In Iowa, July 2026.

Insurers have agreed to pay about $4,786 for this service. Most negotiated rates run $2,570 to $6,761.

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 $5,370 · 10th to 90th $1,950 to $12,589Professionalmedian $2,399 · 10th to 90th $1,202 to $4,467
$200$500$1K$2K$5K$10K$20Kfacility $5,370professional $2,399

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
$1,949.84
Median
$5,370.32
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$1,737.80
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$2,691.53
Typical High
$8,709.64
Medica
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,019.95
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$16,218.10
Typical High
$33,884.42

Where Iowa 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.

Iowa· 21st of 50

$4,786

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.