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Kneecap Fracture Treatment, No Resetting

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $389 for this service. The price depends on where it is billed: about $372 from a physician practice, and about $2,042 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$372$295 to $479
FacilityA hospital or hospital-owned outpatient department$2,042$513 to $4,898

How much rates vary

Facilitymedian $2,042 · 10th to 90th $398 to $4,898Professionalmedian $372 · 10th to 90th $269 to $617
$100$200$500$1K$2K$5Kfacility $2,042professional $372

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
$416.87
Median
$2,041.74
Typical High
$4,897.79
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$288.40
Median
$302.00
Typical High
$316.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$331.13
Typical High
$537.03
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$616.60
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$562.34
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$954.99
Typical High
$4,897.79
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$691.83
Typical High
$1,737.80
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$354.81
Typical High
$501.19

Where Michigan 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.

Michigan· 27th 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.