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Open Repair Of A Break Just Above The Knee

Massachusetts 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?

$3,467

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $3,467 for this service. Most negotiated rates run $2,692 to $5,370.

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 $3,467 · 10th to 90th $1,380 to $7,586
$1K$2K$5K$10K$20Kfacility $3,467

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
$2,570.40
Median
$3,630.78
Typical High
$6,165.95
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,981.07
Typical High
$16,595.87
AllWays Health Partners
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$3,630.78
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$6,165.95
Typical High
$13,182.57
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,981.07
Typical High
$16,595.87
Mass General Brigham
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$6,165.95
Typical High
$26,302.68

Where Massachusetts 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.

Massachusetts· 33rd of 50

$3,467

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.