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Knee Intercondylar Fracture Treatment, Closed

Illinois 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 $1,202 · 10th–90th $457$5,3700%10%10th90th$1,202Professionalmedian $661 · 10th–90th $417$1,0720%10%10th90th$661$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
$501.19
Median
$1,258.93
Typical High
$5,370.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$1,096.48
BCBS
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$426.58
Typical High
$10,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$758.58
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$776.25
Typical High
$1,819.70
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$575.44
Typical High
$691.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$61.66
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$660.69
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$977.24