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Open Repair Of A Break Just Above The Knee

Idaho 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 Idaho, July 2026.

Insurers have agreed to pay about $4,365 for this service. Most negotiated rates run $1,995 to $7,762.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $4,365 · 10th to 90th $1,259 to $10,715
$1K$2K$5K$10K$20Kfacility $4,365

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
$4,365.16
Median
$4,466.84
Typical High
$8,511.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$5,754.40
Typical High
$10,964.78
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,862.09
Typical High
$3,019.95
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$9,332.54
Typical High
$12,589.25
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,023.29
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$22,387.21
Typical High
$27,542.29

Where Idaho 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.

Idaho· 25th 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.