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Open Repair Of A Break Just Above The Knee

New Jersey 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?

$8,511

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $6,026 to $10,965.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,365 to $13,490
$2K$5K$10K$20Kfacility $8,511

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
$8,511.38
Typical High
$13,489.63
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$32,359.37
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$8,709.64
Typical High
$21,379.62

Where New Jersey 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.

New Jersey· 5th of 50

$8,511

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.