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Kneecap Fracture Treatment, No Resetting

Maine 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?

$389

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $389 for this service. Most negotiated rates run $309 to $479.

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.

How much rates vary

Professionalmedian $389 · 10th to 90th $275 to $708
$500$1Kprofessional $389

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
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$389.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$457.09
Typical High
$676.08
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$776.25
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$977.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$331.13
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$426.58
Typical High
$741.31

Where Maine 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.

Maine· 26th of 51

$389

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.