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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.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$2,963

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

Insurers have agreed to pay about $2,963 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $2,239 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$724$490 to $1,072
Facility feeThe hospital or surgery center$2,239$776 to $3,802

How much rates vary

Facilitymedian $2,239 · 10th to 90th $603 to $6,761Professionalmedian $724 · 10th to 90th $447 to $2,138
$500$1K$2K$5K$10Kfacility $2,239professional $724

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
$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

Where Iowa 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

Iowa· 14th of 49

$2,963

$724 physician + $2,239 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.