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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.

Facilitymedian $977 · 10th–90th $347$5,2480%5%10th90th$977Professionalmedian $501 · 10th–90th $417$8130%20%10th90th$501$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

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