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Knee Scope Surgery For Both-Sided Tibial Plateau Fracture

New Jersey rates for HCPCS 29856

This is a minimally invasive knee surgery, using a small camera inserted through tiny incisions, to treat a fracture of the flat top surface of the shin bone where it meets the knee joint, affecting both sides of the joint surface. The surgeon repositions the broken fragments under camera guidance and typically secures them with hardware such as screws. It is a more extensive version of a similar repair that treats a fracture involving only one side of the joint surface.

Rates data updated July 2026.

How much does Knee Scope Surgery For Both-Sided Tibial Plateau Fracture cost?

$9,559

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $9,559 for this procedure. That total is two separate charges: $1,047 to the doctor who performs it, and $8,511 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,047$955 to $1,820
Facility feeThe hospital or surgery center$8,511$6,026 to $10,965

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,467 to $13,490Professionalmedian $1,047 · 10th to 90th $891 to $5,888
$100.0$1.0K$10.0Kfacility $8,511professional $1,047

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
$4,365.16
Median
$8,511.38
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,023.29
Typical High
$6,918.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,412.54
Typical High
$3,162.28
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,584.89
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$42,657.95
Typical High
$66,069.34
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,202.26
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$9,772.37
Typical High
$24,547.09
United
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$2,398.83

Where New Jersey sits

The same service costs 13.8 times more in Indiana than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Jersey $9,559 · 12th of 50
IN $27,939MD $2,023

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.