go back

Kneecap Fracture Treatment, No Resetting

New Mexico 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?

$355

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $355 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $513 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$339$295 to $468
FacilityA hospital or hospital-owned outpatient department$513$355 to $851

How much rates vary

Facilitymedian $513 · 10th to 90th $275 to $1,380Professionalmedian $339 · 10th to 90th $269 to $794
$50$100$200$500$1K$2K$5Kfacility $513professional $339

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
$478.63
Median
$575.44
Typical High
$2,137.96
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$354.81
Median
$371.54
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$309.03
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$645.65
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$398.11
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$436.52
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$288.40
Providence
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$562.34
Providence
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$436.52
Typical High
$616.60

Where New Mexico 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 Mexico· 36th of 51

$355

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.