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Kneecap Fracture Treatment, No Resetting

North Carolina 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?

$417

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $417 for this service. The price depends on where it is billed: about $417 from a physician practice, and about $457 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$417$316 to $575
FacilityA hospital or hospital-owned outpatient department$457$355 to $1,072

How much rates vary

Facilitymedian $457 · 10th to 90th $295 to $4,467Professionalmedian $417 · 10th to 90th $295 to $832
$200$500$1K$2K$5Kfacility $457professional $417

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
$323.59
Median
$1,000.00
Typical High
$6,165.95
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$223.87
Median
$371.54
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$346.74
Typical High
$741.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$117.49
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$467.74
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$398.11
Typical High
$524.81
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$416.87
Typical High
$707.95
Medcost
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$389.05
Typical High
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$891.25
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$323.59
Typical High
$660.69
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$19,498.45
Wellcare
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,454.71
Typical High
$2,884.03

Where North Carolina 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.

North Carolina· 21st of 51

$417

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.