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Kneecap Fracture Treatment, No Resetting

South 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?

$347

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $347 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $562 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$339$295 to $417
FacilityA hospital or hospital-owned outpatient department$562$372 to $4,365

How much rates vary

Facilitymedian $562 · 10th to 90th $309 to $9,772Professionalmedian $339 · 10th to 90th $263 to $759
$200$500$1K$2K$5K$10K$20Kfacility $562professional $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
$346.74
Median
$5,623.41
Typical High
$21,877.62
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$263.03
Median
$281.84
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$776.25
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$478.63
Typical High
$758.58
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$363.08
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$371.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$724.44
Medcost
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$707.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$1,122.02
Typical High
$4,677.35
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$323.59
Typical High
$537.03

Where South 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.

South Carolina· 38th 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.