go back

Knee Intercondylar Fracture Treatment, Closed

Alabama 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?

$1,289

Typical total for the visit. In Alabama, July 2026.

Insurers have agreed to pay about $1,289 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $776 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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$513$407 to $794
Facility feeThe hospital or surgery center$776$617 to $1,096

How much rates vary

Facilitymedian $776 · 10th to 90th $389 to $1,585Professionalmedian $513 · 10th to 90th $363 to $933
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $776professional $513

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
$562.34
Median
$954.99
Typical High
$2,398.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$549.54
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$724.44
Typical High
$977.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$707.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$549.54
Typical High
$870.96
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$645.65
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$446.68
Typical High
$776.25

Where Alabama sits

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 feeAlabama $1,289 · 42nd of 49
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.