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Open Repair Of A Break Just Above The Knee

South Dakota 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 South Dakota, July 2026.

Insurers have agreed to pay about $2,138 for this service. Most negotiated rates run $1,698 to $2,399.

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 $2,188 · 10th to 90th $1,445 to $4,898Professionalmedian $2,089 · 10th to 90th $1,445 to $2,630
$2K$5K$10K$20Kfacility $2,188professional $2,089

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
$1,230.27
Median
$4,365.16
Typical High
$4,897.79
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$3,235.94
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,818.38
Typical High
$2,818.38
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$2,398.83
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$26,302.68

Where South Dakota 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.

South Dakota· 42nd 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.