go back

Knee Intercondylar Fracture Treatment, Closed

Connecticut 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.

Facilitymedian $4,677 · 10th–90th $2,138$8,5110%10%10th90th$4,677Professionalmedian $562 · 10th–90th $417$1,5490%10%10th90th$562$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,677.35
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$1,862.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,162.28
Typical High
$11,220.18
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$912.01
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$371.54
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,288.25
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$3,981.07
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$1,258.93