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Knee Intercondylar Fracture Treatment, Closed

Montana 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 October 2026.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$1,501

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $1,501 for this procedure. That total is two separate charges: $724 to the doctor who performs it, and $776 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$724$617 to $794
Facility feeThe hospital or surgery center$776$661 to $912

How much rates vary

Facilitymedian $776 · 10th to 90th $513 to $955Professionalmedian $724 · 10th to 90th $468 to $832
$100$200$500$1Kfacility $776professional $724

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$416.87
Median
$524.81
Typical High
$933.25
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$724.44
Typical High
$794.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$616.60
Typical High
$724.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$724.44
Typical High
$794.33
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$616.60
Median
$794.33
Typical High
$1,000.00
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$776.25
Typical High
$977.24
Providence
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$616.60
Typical High
$724.44
Providence
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$676.08
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$758.58
Typical High
$870.96

Where Montana sits

The same service costs 4.9 times more in Connecticut than in Florida. 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

Montana· 16th of 51

$1,501

$724 physician + $776 facility

CT $3,107FL $640

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.