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Knee Intercondylar Fracture Treatment, Closed

Nevada 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?

$2,199

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

Insurers have agreed to pay about $2,199 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $1,698 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$501$457 to $631
Facility feeThe hospital or surgery center$1,698$468 to $3,467

How much rates vary

Facilitymedian $1,698 · 10th to 90th $437 to $4,365Professionalmedian $501 · 10th to 90th $427 to $1,514
$10.0$100.0$1.0K$10.0Kfacility $1,698professional $501

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
$436.52
Median
$1,698.24
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$478.63
Typical High
$2,570.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,467.37
Typical High
$4,466.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$851.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$575.44
Typical High
$870.96
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$524.81
Typical High
$812.83
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$794.33
Select Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$537.03
Select Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$478.63
Typical High
$831.76
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$794.33
Typical High
$2,041.74
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$524.81
Typical High
$870.96

Where Nevada 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 feeNevada $2,199 · 26th 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.