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Surgery for a Broken Knee Joint Surface

South Dakota rates for HCPCS 27536

Repairs a break in the top of the shin bone, where it forms the flat weight-bearing surface of the knee joint, through an incision. The dropped or split fragments are lifted back up to restore a smooth joint surface and held in place with plates and screws. It is used when the break runs into the joint and will not stay lined up on its own.

Rates data updated July 2026.

How much does Surgery for a Broken Knee Joint Surface cost?

$2,042

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $2,042 for this service. Most negotiated rates run $1,549 to $2,344.

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.

How much rates vary

Facilitymedian $2,692 · 10th to 90th $1,549 to $14,454Professionalmedian $1,995 · 10th to 90th $1,380 to $2,570
$2K$5K$10Kfacility $2,692professional $1,995

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$4,897.79
Typical High
$14,454.40
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,949.84
Typical High
$3,090.30
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,691.53
Typical High
$2,691.53
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,995.26
Typical High
$2,344.23
Sanford Health Plan
Setting
Professional
Modifier
80 · Assistant surgeon
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
Sanford Health Plan
Setting
Professional
Modifier
AS · PA/NP assist
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$14,791.08

Where South Dakota sits

The same service costs 27.5 times more in Maine than in West Virginia. 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· 46th of 50

$2,042

ME $32,359WV $1,175

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.