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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.

Facilitymedian $1,288 · 10th–90th $501$3,7150%10%10th90th$1,288Professionalmedian $692 · 10th–90th $447$1,3800%10%10th90th$692$100.0$500.0$2.0K$10.0K$50.0K

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
$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