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Kneecap Fracture Treatment, No Resetting

Iowa 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?

$490

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $2,239 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 8 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$437$309 to $692
FacilityA hospital or hospital-owned outpatient department$2,239$603 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $490 to $6,761Professionalmedian $437 · 10th to 90th $275 to $1,000
$500$1K$2K$5K$10Kfacility $2,239professional $437

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
$524.81
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$363.08
Median
$363.08
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$741.31
Typical High
$1,000.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$1,023.29
Medica
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$691.83
Typical High
$1,479.11
Medica
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,000.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$676.08
Typical High
$2,290.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$758.58
Typical High
$912.01
Midlands
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$630.96
Typical High
$912.01
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$758.58
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$446.68
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$676.08
Typical High
$794.33

Where Iowa 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.

Iowa· 11th of 51

$490

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.