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Kneecap Fracture Treatment, No Resetting

Georgia rates for HCPCS 27520

Treatment of a broken kneecap (patella) without needing to manipulate or reset the bone because the fragments are already reasonably aligned. Care typically involves a brace or cast and restricted weight-bearing while the bone heals.

Rates data updated July 2026.

How much does Kneecap Fracture Treatment, No Resetting cost?

$417

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $2,512 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$380$309 to $490
FacilityA hospital or hospital-owned outpatient department$2,512$1,072 to $3,981

How much rates vary

Facilitymedian $2,512 · 10th to 90th $457 to $6,761Professionalmedian $380 · 10th to 90th $275 to $692
$200$500$1K$2K$5K$10Kfacility $2,512professional $380

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
$398.11
Median
$3,548.13
Typical High
$7,585.78
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$234.42
Median
$295.12
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$354.81
Typical High
$691.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$446.68
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$794.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$426.58
Median
$426.58
Typical High
$467.74
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$602.56
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,318.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$389.05
Typical High
$724.44

Where Georgia sits

The same service costs 2.8 times more in Alaska than in Hawaii. 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.

Georgia· 24th of 51

$417

AK $871HI $316

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.