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Knee Intercondylar Fracture Treatment, Closed

Missouri 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?

$2,235

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

Insurers have agreed to pay about $2,235 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $1,698 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$457 to $724
Facility feeThe hospital or surgery center$1,698$813 to $3,162

How much rates vary

Facilitymedian $1,698 · 10th to 90th $417 to $5,248Professionalmedian $537 · 10th to 90th $417 to $2,138
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $1,698professional $537

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
$478.63
Median
$2,398.83
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$1,778.28
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$524.81
Typical High
$776.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$562.34
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$616.60
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$645.65
Typical High
$1,548.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$741.31
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$645.65
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$549.54
Typical High
$912.01

Where Missouri sits

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeMissouri $2,235 · 24th of 49
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.