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Kneecap Fracture Treatment, No Resetting

Virginia 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?

$380

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $380 for this service. The price depends on where it is billed: about $363 from a physician practice, and about $589 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$363$324 to $490
FacilityA hospital or hospital-owned outpatient department$589$355 to $2,630

How much rates vary

Facilitymedian $589 · 10th to 90th $309 to $5,888Professionalmedian $363 · 10th to 90th $282 to $759
$200$500$1K$2K$5K$10Kfacility $589professional $363

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
$354.81
Median
$2,630.27
Typical High
$7,079.46
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$245.47
Median
$269.15
Typical High
$436.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$676.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$446.68
Typical High
$776.25
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$707.95
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$457.09
Typical High
$549.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$758.58
Medcost
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$389.05
Typical High
$602.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$269.15
Sentara
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$371.54
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$407.38
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$1,122.02
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$363.08
Typical High
$616.60

Where Virginia 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.

Virginia· 31st of 51

$380

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.