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Knee Intercondylar Fracture Treatment, Closed

Nebraska 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?

$4,492

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

Insurers have agreed to pay about $4,492 for this procedure. That total is two separate charges: $776 to the doctor who performs it, and $3,715 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$776$447 to $1,072
Facility feeThe hospital or surgery center$3,715$1,175 to $7,943

How much rates vary

Facilitymedian $3,715 · 10th to 90th $525 to $13,490Professionalmedian $776 · 10th to 90th $417 to $2,570
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $3,715professional $776

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
$2,187.76
Median
$4,365.16
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$776.25
Typical High
$2,754.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,365.16
Typical High
$8,511.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$707.95
Typical High
$954.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$1,023.29
Typical High
$1,412.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$741.31
Typical High
$1,778.28
Medica
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$954.99
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,412.54
Midlands
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,096.48
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$645.65
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$933.25
Typical High
$1,258.93

Where Nebraska 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 feeNebraska $4,492 · 4th 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.