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Knee Intercondylar Fracture Treatment, Closed

Rhode Island 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 $1,479 · 10th–90th $537$3,9810%20%10th90th$1,479Professionalmedian $562 · 10th–90th $417$8320%10%20%10th90th$562$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$562.34
Typical High
$707.95
BCBS
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$602.56
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$724.44
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,230.27
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,023.29