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Knee Intercondylar Fracture Treatment, Closed

New Hampshire 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.

Facilitymedian $1,514 · 10th–90th $295$8,9130%20%10th90th$1,514Professionalmedian $724 · 10th–90th $457$1,1750%10%10th90th$724$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$1,513.56
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$602.56
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,412.54
Typical High
$2,630.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$794.33
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$758.58
Typical High
$1,445.44
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$758.58
Typical High
$1,348.96
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$602.56