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Knee Intercondylar Fracture Treatment, Closed

New Jersey 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 $5,370 · 10th–90th $794$10,4710%10%10th90th$5,370Professionalmedian $490 · 10th–90th $407$2,2910%20%10th90th$490$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$794.33
Median
$5,888.44
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$2,570.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$645.65
Typical High
$1,513.56
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$933.25
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$851.14
Typical High
$1,258.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$562.34
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,754.23
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$501.19
Typical High
$1,122.02