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Knee Intercondylar Fracture Treatment, Closed

South Dakota 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?

$1,608

Typical total for the visit. In South Dakota, July 2026.

Insurers have agreed to pay about $1,608 for this procedure. That total is two separate charges: $832 to the doctor who performs it, and $776 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$832$501 to $1,023
Facility feeThe hospital or surgery center$776$676 to $1,072

How much rates vary

Facilitymedian $776 · 10th to 90th $603 to $2,291Professionalmedian $832 · 10th to 90th $417 to $1,230
$500.0$1.0K$2.0Kfacility $776professional $832

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
$446.68
Median
$2,290.87
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$478.63
Typical High
$1,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,174.90
Typical High
$1,445.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,000.00
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,000.00
Typical High
$1,071.52
Midlands
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$977.24
Typical High
$1,047.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$1,023.29
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$794.33
Typical High
$1,258.93
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,380.38

Where South Dakota 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 feeSouth Dakota $1,608 · 34th 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.