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Knee Intercondylar Fracture Treatment, Closed

Kansas 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?

$2,291

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

Insurers have agreed to pay about $2,291 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $1,660 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$631$479 to $676
Facility feeThe hospital or surgery center$1,660$676 to $4,571

How much rates vary

Facilitymedian $1,660 · 10th to 90th $501 to $7,586Professionalmedian $631 · 10th to 90th $447 to $759
$200$500$1K$2K$5K$10Kfacility $1,660professional $631

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
$616.60
Median
$3,630.78
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$2,187.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$676.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$933.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$616.60
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$707.95
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$426.58
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$549.54
Typical High
$776.25

Where Kansas 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

Kansas· 22nd of 49

$2,291

$631 physician + $1,660 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.