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Knee Intercondylar Fracture Treatment, Closed

Arizona 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?

$2,532

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

Insurers have agreed to pay about $2,532 for this procedure. That total is two separate charges: $490 to the doctor who performs it, and $2,042 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$490$437 to $692
Facility feeThe hospital or surgery center$2,042$646 to $4,571

How much rates vary

Facilitymedian $2,042 · 10th to 90th $407 to $5,623Professionalmedian $490 · 10th to 90th $389 to $1,259
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $2,042professional $490

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
$1,445.44
Median
$3,715.35
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$1,445.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$380.19
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$724.44
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$537.03
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,862.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$602.56
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$954.99
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$478.63
Typical High
$870.96

Where Arizona 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 feeArizona $2,532 · 20th 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.