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Kneecap Fracture Treatment, No Resetting

Montana 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?

$468

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $468 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $550 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$437$295 to $537
FacilityA hospital or hospital-owned outpatient department$550$501 to $575

How much rates vary

Facilitymedian $550 · 10th to 90th $417 to $617Professionalmedian $437 · 10th to 90th $269 to $603
$500$1Kfacility $550professional $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
Professional
Modifier
Global
Typical Low
$269.15
Median
$323.59
Typical High
$467.74
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$436.52
Typical High
$549.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$616.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$549.54
Typical High
$616.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$416.87
Typical High
$616.60
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$446.68
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
United
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$501.19
Typical High
$616.60

Where Montana 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.

Montana· 14th of 51

$468

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.