go back

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.

Facilitymedian $776 · 10th–90th $603$2,2910%20%10th90th$776Professionalmedian $832 · 10th–90th $417$1,2300%10%10th90th$832$500.0$1.0K$2.0K

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

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