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Kneecap Fracture Treatment, No Resetting

Utah 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?

$437

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $437 for this service. The price depends on where it is billed: about $437 from a physician practice, and about $3,020 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$437$309 to $646
FacilityA hospital or hospital-owned outpatient department$3,020$437 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $398 to $4,571Professionalmedian $437 · 10th to 90th $269 to $1,514
$200$500$1K$2K$5Kfacility $3,020professional $437

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
$398.11
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$295.12
Median
$295.12
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$436.52
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$537.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$602.56
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$724.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$724.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$575.44
Typical High
$724.44
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$323.59
Typical High
$512.86

Where Utah 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.

Utah· 19th of 51

$437

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.