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Kneecap Fracture Treatment, No Resetting

New Jersey 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?

$347

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $331 from a physician practice, and about $5,248 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$331$295 to $537
FacilityA hospital or hospital-owned outpatient department$5,248$3,311 to $7,079

How much rates vary

Facilitymedian $5,248 · 10th to 90th $575 to $10,471Professionalmedian $331 · 10th to 90th $275 to $1,445
$200$500$1K$2K$5K$10Kfacility $5,248professional $331

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
$524.81
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$208.93
Median
$302.00
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$1,737.80
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$1,023.29
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$467.74
Typical High
$645.65
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,122.02
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$338.84
Typical High
$758.58

Where New Jersey 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.

New Jersey· 39th of 51

$347

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.