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Knee Intercondylar Fracture Treatment, Closed

Washington, DC 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?

$525

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $525 for this service. Most negotiated rates run $490 to $832.

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.

How much rates vary

Facilitymedian $2,138 · 10th to 90th $490 to $7,762Professionalmedian $525 · 10th to 90th $457 to $708
$200$500$1K$2K$5Kfacility $2,138professional $525

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
$489.78
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$489.78
Typical High
$676.08
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$645.65
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$1,318.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$1,000.00
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$977.24
Typical High
$1,548.82
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$645.65
Typical High
$1,288.25

Where Washington, DC sits

The same service costs 3.8 times more in California than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 35th of 51

$525

CA $1,820DE $479

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.