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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.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$3,074

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

Insurers have agreed to pay about $3,074 for this procedure. That total is two separate charges: $562 to the doctor who performs it, and $2,512 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$562$468 to $741
Facility feeThe hospital or surgery center$2,512$1,072 to $3,981

How much rates vary

Facilitymedian $2,512 · 10th to 90th $603 to $6,761Professionalmedian $562 · 10th to 90th $417 to $1,000
$500$1K$2K$5K$10Kfacility $2,512professional $562

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
$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

Where Georgia 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

Georgia· 13th of 49

$3,074

$562 physician + $2,512 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.