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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.

Facilitymedian $1,660 · 10th–90th $501$7,5860%5%10th90th$1,660Professionalmedian $631 · 10th–90th $447$7590%20%10th90th$631$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$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