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Knee Intercondylar Fracture Treatment, Closed

Florida 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?

$3,363

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

Insurers have agreed to pay about $3,363 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $2,884 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$479$417 to $589
Facility feeThe hospital or surgery center$2,884$1,288 to $6,026

How much rates vary

Facilitymedian $2,884 · 10th to 90th $550 to $10,471Professionalmedian $479 · 10th to 90th $380 to $776
$200$500$1K$2K$5K$10Kfacility $2,884professional $479

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
$524.81
Median
$3,311.31
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$776.25
AvMed
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$1,584.89
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$489.78
Typical High
$562.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$588.84
Typical High
$954.99
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,511.89
Typical High
$4,365.16
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$426.58
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$389.05
Typical High
$794.33
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$1,318.26
Typical High
$3,890.45
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$933.25
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$389.05
Typical High
$575.44

Where Florida sits

The same service costs 9.6 times more in New Jersey than in Maryland. 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.

Physician feeFacility fee

Florida· 11th of 49

$3,363

$479 physician + $2,884 facility

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.