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Open Repair Of A Break Just Above The Knee

Utah 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?

$4,169

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $4,169 for this service. Most negotiated rates run $1,778 to $8,511.

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 $7,244 · 10th to 90th $1,778 to $18,621Professionalmedian $1,778 · 10th to 90th $1,072 to $2,692
$1K$2K$5K$10Kfacility $7,244professional $1,778

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
$1,778.28
Median
$6,456.54
Typical High
$18,620.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$12,882.50
Typical High
$18,620.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,778.28
Typical High
$2,691.53
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$5,128.61
Typical High
$26,302.68

Where Utah 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.

Utah· 27th of 50

$4,169

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.