go back

Kneecap Fracture Treatment, No Resetting

South Dakota 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?

$537

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $537 for this service. The price depends on where it is billed: about $537 from a physician practice, and about $525 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 8 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$537$316 to $692
FacilityA hospital or hospital-owned outpatient department$525$447 to $759

How much rates vary

Facilitymedian $525 · 10th to 90th $380 to $2,291Professionalmedian $537 · 10th to 90th $275 to $794
$500$1K$2Kfacility $525professional $537

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
$295.12
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$223.87
Median
$223.87
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$316.23
Typical High
$776.25
Avera
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$794.33
Typical High
$1,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$758.58
Medica
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$676.08
Typical High
$2,511.89
Midlands
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$676.08
Typical High
$724.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$645.65
Typical High
$707.95
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$537.03
Typical High
$870.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$933.25

Where South Dakota 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 Dakota· 8th of 51

$537

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.