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Knee Intercondylar Fracture Treatment, Closed

Georgia 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 $2,512 · 10th–90th $603$6,7610%5%10%10th90th$2,512Professionalmedian $562 · 10th–90th $417$1,0000%10%10th90th$562$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$3,548.13
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,089.30
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$645.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,174.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$676.08
Typical High
$1,148.15
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$1,318.26
Typical High
$2,454.71
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$575.44
Typical High
$1,047.13