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Knee Intercondylar Fracture Treatment, Closed

New Mexico 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?

$1,124

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $1,124 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $646 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$479$437 to $692
Facility feeThe hospital or surgery center$646$513 to $891

How much rates vary

Facilitymedian $646 · 10th to 90th $389 to $1,380Professionalmedian $479 · 10th to 90th $407 to $1,175
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $646professional $479

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
$691.83
Median
$851.14
Typical High
$2,137.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$467.74
Typical High
$1,479.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$616.60
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$588.84
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$645.65
Typical High
$1,698.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$426.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$562.34
Typical High
$831.76
Providence
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$660.69
Typical High
$1,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$1,096.48
Typical High
$1,445.44
United
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$912.01

Where New Mexico 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 feeNew Mexico $1,124 · 45th 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.