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Knee Intercondylar Fracture Treatment, Closed

Iowa 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 $2,239 · 10th–90th $603$6,7610%5%10%10th90th$2,239Professionalmedian $724 · 10th–90th $447$2,1380%10%10th90th$724$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$776.25
Median
$3,388.44
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$1,096.48
Typical High
$1,445.44
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$645.65
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$977.24
Typical High
$1,621.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$1,000.00
Typical High
$3,388.44
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$933.25
Typical High
$1,348.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$1,122.02
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$1,174.90