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Knee Intercondylar Fracture Treatment, Closed

North Dakota 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?

$1,412

Typical total for the visit. In North Dakota, July 2026.

Insurers have agreed to pay about $1,412 for this procedure. That total is two separate charges: $933 to the doctor who performs it, and $479 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$933$479 to $1,096
Facility feeThe hospital or surgery center$479$457 to $575

How much rates vary

Facilitymedian $479 · 10th to 90th $447 to $1,995Professionalmedian $933 · 10th to 90th $437 to $1,259
$500.0$1.0K$2.0K$5.0Kfacility $479professional $933

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
$446.68
Median
$478.63
Typical High
$1,995.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$457.09
Typical High
$1,258.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,023.29
Typical High
$1,258.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$954.99
Typical High
$1,548.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$912.01
Medica
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,819.70
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$831.76
Typical High
$1,202.26

Where North Dakota 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 feeNorth Dakota $1,412 · 38th 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.