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Knee Intercondylar Fracture Treatment, Closed

Massachusetts 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?

$1,980

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

Insurers have agreed to pay about $1,980 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $1,288 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 8 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$525 to $1,122
Facility feeThe hospital or surgery center$1,288$562 to $2,570

How much rates vary

Facilitymedian $1,288 · 10th to 90th $501 to $3,715Professionalmedian $692 · 10th to 90th $447 to $1,380
$500$1K$2K$5K$10Kfacility $1,288professional $692

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
$446.68
Median
$2,238.72
Typical High
$3,715.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,348.96
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,148.15
Typical High
$19,498.45
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$1,819.70
BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$1,288.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,380.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$724.44
Typical High
$1,380.38
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$3,311.31
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$741.31
Typical High
$954.99
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$2,041.74
Typical High
$3,467.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,380.38
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,148.15
Typical High
$19,498.45
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$691.83
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$2,754.23
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$1,445.44

Where Massachusetts 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

Massachusetts· 28th of 49

$1,980

$692 physician + $1,288 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.