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Knee Intercondylar Fracture Treatment, Closed

Tennessee 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?

$1,886

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

Insurers have agreed to pay about $1,886 for this procedure. That total is two separate charges: $537 to the doctor who performs it, and $1,349 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$537$447 to $724
Facility feeThe hospital or surgery center$1,349$617 to $2,399

How much rates vary

Facilitymedian $1,349 · 10th to 90th $468 to $3,981Professionalmedian $537 · 10th to 90th $417 to $1,000
$50.0$200.0$1.0K$5.0Kfacility $1,349professional $537

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
$467.74
Median
$1,380.38
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$524.81
Typical High
$954.99
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$1,479.11
Typical High
$2,089.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$977.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$2,884.03
Typical High
$19,498.45
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$2,137.96
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$537.03
Typical High
$954.99

Where Tennessee 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 feeTennessee $1,886 · 30th 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.