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Open Repair Of A Break Just Above The Knee

Virginia 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?

$3,236

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $1,549 to $7,586.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,288 to $10,965Professionalmedian $1,585 · 10th to 90th $1,072 to $2,239
$1K$2K$5K$10K$20Kfacility $3,236professional $1,585

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
$1,412.54
Median
$5,888.44
Typical High
$10,964.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,760.83
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,348.96
Typical High
$1,584.89
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,238.72
Typical High
$2,818.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,511.89
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,964.78
Typical High
$22,387.21

Where Virginia 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.

Virginia· 35th of 50

$3,236

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.