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Knee Intercondylar Fracture Treatment, Closed

Utah 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?

$3,666

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

Insurers have agreed to pay about $3,666 for this procedure. That total is two separate charges: $646 to the doctor who performs it, and $3,020 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$646$468 to $1,047
Facility feeThe hospital or surgery center$3,020$646 to $3,981

How much rates vary

Facilitymedian $3,020 · 10th to 90th $603 to $4,571Professionalmedian $646 · 10th to 90th $427 to $2,570
$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0Kfacility $3,020professional $646

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
$602.56
Median
$3,162.28
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$645.65
Typical High
$2,754.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$602.56
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$891.25
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$467.74
Typical High
$724.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$724.44
Typical High
$1,047.13
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,047.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$831.76
Typical High
$1,047.13
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$741.31
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$4,466.84
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$776.25

Where Utah 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 feeUtah $3,666 · 8th 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.