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Knee Intercondylar Fracture Treatment, Closed

Idaho 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 $603 · 10th–90th $263$4,4670%10%10th90th$603Professionalmedian $741 · 10th–90th $447$1,0000%10%20%10th90th$741$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
$1,412.54
Median
$4,466.84
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$588.84
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$295.12
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$912.01
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$602.56
Typical High
$831.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$645.65
Typical High
$1,148.15
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$891.25
Typical High
$1,122.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$549.54
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$912.01
Typical High
$1,047.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$489.78
Typical High
$512.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$489.78
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$1,819.70
Typical High
$9,332.54
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$954.99