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Knee Intercondylar Fracture Treatment, Closed

Indiana 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?

$4,270

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

Insurers have agreed to pay about $4,270 for this procedure. That total is two separate charges: $468 to the doctor who performs it, and $3,802 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$468$427 to $550
Facility feeThe hospital or surgery center$3,802$2,630 to $5,495

How much rates vary

Facilitymedian $3,802 · 10th to 90th $851 to $8,128Professionalmedian $468 · 10th to 90th $398 to $776
$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $3,802professional $468

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
$537.03
Median
$3,801.89
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$457.09
Typical High
$724.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$3,890.45
Typical High
$8,317.64
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$549.54
Typical High
$851.14
CareSource
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$457.09
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$2,137.96
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$489.78
Typical High
$831.76

Where Indiana sits

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeIndiana $4,270 · 5th of 49
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.