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Knee Intercondylar Fracture Treatment, Closed

Maryland 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?

$490

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $490 for this service. Most negotiated rates run $457 to $537.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $123 · 10th to 90th $37 to $427Professionalmedian $490 · 10th to 90th $407 to $851
$50$100$200$500$1K$2Kfacility $123professional $490

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$489.78
Typical High
$562.34
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$331.13
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,071.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$660.69
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$47.86
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$549.54
Typical High
$1,000.00
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$660.69
Typical High
$812.83

Where Maryland sits

The same service costs 3.8 times more in California than in Delaware. 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.

Maryland· 49th of 51

$490

CA $1,820DE $479

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.