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Knee Intercondylar Fracture Treatment, Closed

Colorado 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?

$3,521

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

Insurers have agreed to pay about $3,521 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $3,020 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$468 to $676
Facility feeThe hospital or surgery center$3,020$1,047 to $5,129

How much rates vary

Facilitymedian $3,020 · 10th to 90th $550 to $6,607Professionalmedian $501 · 10th to 90th $437 to $1,000
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,020professional $501

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
$501.19
Median
$3,981.07
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$891.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$3,388.44
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$575.44
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$1,000.00
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$602.56
Typical High
$954.99
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$724.44
Typical High
$1,621.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$912.01
Typical High
$1,174.90
Select Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$575.44
Typical High
$812.83
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,318.26
Typical High
$2,691.53
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$1,122.02

Where Colorado 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 feeColorado $3,521 · 10th 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.