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Knee Intercondylar Fracture Treatment, Closed

Maine 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?

$562

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $468 to $724.

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

Professionalmedian $562 · 10th to 90th $417 to $1,047
$500$1Kprofessional $562

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
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$575.44
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$676.08
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$1,122.02
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$691.83
Typical High
$1,412.54
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$501.19
Typical High
$630.96
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$630.96
Typical High
$1,096.48

Where Maine 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.

Maine· 28th of 51

$562

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.