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Knee Intercondylar Fracture Treatment, Closed

Hawaii 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?

$501

Typical physician fee. In Hawaii, July 2026.

Insurers have agreed to pay about $501 for this service. Most negotiated rates run $457 to $631.

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 $2,884 · 10th to 90th $871 to $2,884Professionalmedian $468 · 10th to 90th $427 to $692
$50$100$200$500$1K$2Kfacility $2,884professional $468

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
$870.96
Median
$2,884.03
Typical High
$2,884.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$467.74
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$630.96
Typical High
$851.14
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$549.54
Typical High
$724.44
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$524.81
Typical High
$691.83

Where Hawaii 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.

Hawaii· 44th of 51

$501

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.