search again

Knee Intercondylar Fracture Treatment, Closed

Nationwide rates for HCPCS 27538

This treatment addresses a fracture at the top of the shinbone where knee ligaments attach, sometimes called a tibial spine fracture. The break is treated without opening the knee, using a cast, brace, or gentle manipulation of the joint from outside the skin to allow the bone fragment to heal in position. It is most common after a twisting injury to the knee, especially in children and teenagers.

Rates data updated July 2026.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$2,840

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $2,840 for this procedure. That total is two separate charges: $550 to the doctor who performs it, and $2,291 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 67 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$550$457 to $832
Facility feeThe hospital or surgery center$2,291$794 to $4,467

How much rates vary

Facilitymedian $2,291 · 10th to 90th $479 to $7,762Professionalmedian $550 · 10th to 90th $407 to $1,288
$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $2,291professional $550

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
$512.86
Median
$2,570.40
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$1,122.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$3,630.78
Typical High
$9,120.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$1,122.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$1,000.00
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$660.69
Typical High
$1,412.54
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$977.24
Typical High
$3,311.31
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$1,096.48

What it costs in each state

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee
NJ $5,860MD $613

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.