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Open Repair Of A Break Just Above The Knee

North Carolina 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?

$2,138

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $1,514 to $8,128.

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 $2,138 · 10th to 90th $1,202 to $12,023Professionalmedian $2,239 · 10th to 90th $2,239 to $2,818
$1K$2K$5K$10K$20K$50Kfacility $2,138professional $2,239

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
$1,202.26
Median
$4,677.35
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
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
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,818.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,698.24
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$10,964.78
Typical High
$23,988.33
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$51,286.14
Typical High
$51,286.14
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61

Where North Carolina 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.

North Carolina· 41st of 50

$2,138

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.