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Knee Intercondylar Fracture Treatment, Closed

Kentucky 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 $1,950 · 10th–90th $513$3,0200%10%10th90th$1,950Professionalmedian $447 · 10th–90th $380$7590%20%10th90th$447$50.0$100.0$200.0$500.0$1.0K$2.0K$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
$398.11
Median
$794.33
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$446.68
Typical High
$794.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,137.96
Typical High
$2,951.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$416.87
Typical High
$575.44
CareSource
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$676.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$691.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$776.25
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$2,951.21
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$724.44
Typical High
$1,949.84
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$524.81
Typical High
$851.14