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Knee Intercondylar Fracture Treatment, Closed

Arkansas 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?

$1,144

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

Insurers have agreed to pay about $1,144 for this procedure. That total is two separate charges: $513 to the doctor who performs it, and $631 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$457 to $603
Facility feeThe hospital or surgery center$631$324 to $1,072

How much rates vary

Facilitymedian $631 · 10th to 90th $209 to $1,820Professionalmedian $513 · 10th to 90th $407 to $676
$100.0$200.0$500.0$1.0K$2.0Kfacility $631professional $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
$524.81
Median
$794.33
Typical High
$1,862.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$501.19
Typical High
$645.65
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$288.40
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$524.81
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$630.96
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$426.58
Typical High
$741.31
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$870.96

Where Arkansas 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 feeArkansas $1,144 · 44th 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.