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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.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$1,344

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

Insurers have agreed to pay about $1,344 for this procedure. That total is two separate charges: $741 to the doctor who performs it, and $603 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$741$525 to $933
Facility feeThe hospital or surgery center$603$457 to $977

How much rates vary

Facilitymedian $603 · 10th to 90th $263 to $4,467Professionalmedian $741 · 10th to 90th $447 to $1,000
$100$200$500$1K$2K$5K$10Kfacility $603professional $741

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
$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

Where Idaho 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

Idaho· 40th of 49

$1,344

$741 physician + $603 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.