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Kneecap Fracture Treatment, No Resetting

Illinois 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 Illinois, July 2026.

Insurers have agreed to pay about $490 for this service. The price depends on where it is billed: about $447 from a physician practice, and about $1,148 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 7 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$447$316 to $603
FacilityA hospital or hospital-owned outpatient department$1,148$537 to $2,692

How much rates vary

Facilitymedian $1,148 · 10th to 90th $331 to $5,370Professionalmedian $447 · 10th to 90th $275 to $741
$100$200$500$1K$2K$5K$10Kfacility $1,148professional $447

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
$331.13
Median
$1,230.27
Typical High
$5,370.32
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$234.42
Median
$295.12
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$794.33
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$6,760.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$512.86
Typical High
$724.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$645.65
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$537.03
Typical High
$1,230.27
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$389.05
Typical High
$467.74
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$660.69
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$831.76

Where Illinois 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.

Illinois· 9th 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.