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Knee Intercondylar Fracture Treatment, Closed

Delaware 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 $3,236 · 10th–90th $145$7,2440%20%10th90th$3,236Professionalmedian $479 · 10th–90th $427$1,0000%20%40%10th90th$479$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$501.19
Typical High
$891.25
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$478.63
Typical High
$501.19
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$794.33