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Kneecap Fracture Treatment, No Resetting

West 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?

$347

Typical negotiated rate. In West Virginia, 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 $794 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 5 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 $646
FacilityA hospital or hospital-owned outpatient department$794$316 to $794

How much rates vary

Facilitymedian $794 · 10th to 90th $288 to $794Professionalmedian $339 · 10th to 90th $275 to $676
$500$1Kfacility $794professional $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
$288.40
Median
$794.33
Typical High
$794.33
Aetna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$218.78
Median
$234.42
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$331.13
Typical High
$676.08
CareSource
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
54 · Surgery only
Typical Low
$371.54
Median
$371.54
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$1,949.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$891.25
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$457.09
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$346.74
Typical High
$524.81

Where West 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.

West Virginia· 43rd 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.