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Open Repair Of A Break Just Above The Knee

Kentucky 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?

$5,888

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $5,888 for this service. Most negotiated rates run $1,318 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $851 to $10,715
$1K$2K$5K$10Kfacility $5,888

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
$851.14
Median
$3,630.78
Typical High
$10,471.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,715.19
Typical High
$11,220.18
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,548.82
Typical High
$1,862.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$1,949.84
Typical High
$1,949.84
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,025.60
Typical High
$10,471.29

Where Kentucky 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.

Kentucky· 16th of 50

$5,888

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.