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Knee Intercondylar Fracture Treatment, Closed

Ohio 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?

$2,568

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

Insurers have agreed to pay about $2,568 for this procedure. That total is two separate charges: $479 to the doctor who performs it, and $2,089 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 9 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 $617
Facility feeThe hospital or surgery center$2,089$1,202 to $3,715

How much rates vary

Facilitymedian $2,089 · 10th to 90th $550 to $10,233Professionalmedian $479 · 10th to 90th $389 to $955
$10.0$100.0$1.0K$10.0Kfacility $2,089professional $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
$524.81
Median
$2,238.72
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$478.63
Typical High
$1,949.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,995.26
Typical High
$3,981.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$758.58
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$616.60
CareSource
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$524.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$21,379.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$912.01
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$616.60
Typical High
$912.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,047.13
United
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$707.95
Typical High
$2,398.83
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$512.86
Typical High
$812.83

Where Ohio 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 feeOhio $2,568 · 18th 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.