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Knee Intercondylar Fracture Treatment, Closed

Texas 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?

$1,478

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

Insurers have agreed to pay about $1,478 for this procedure. That total is two separate charges: $501 to the doctor who performs it, and $977 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 11 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$501$457 to $676
Facility feeThe hospital or surgery center$977$501 to $2,692

How much rates vary

Facilitymedian $977 · 10th to 90th $347 to $5,248Professionalmedian $501 · 10th to 90th $417 to $813
$200$500$1K$2K$5K$10Kfacility $977professional $501

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
$2,187.76
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$501.19
Typical High
$812.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$363.08
Typical High
$812.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$537.03
Typical High
$741.31
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$436.52
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$954.99
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,884.03
Median
$19,498.45
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,000.00
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$724.44
Typical High
$954.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$371.54
Typical High
$457.09
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,698.24
Typical High
$2,041.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$588.84
Typical High
$1,000.00
Providence
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$954.99
United
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$758.58
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$489.78
Typical High
$741.31
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$724.44

Where Texas sits

The same service costs 9.6 times more in New Jersey than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

Texas· 37th of 49

$1,478

$501 physician + $977 facility

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.