go back

Knee Intercondylar Fracture Treatment, Closed

Vermont 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 October 2026.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$692

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $692 for this service. Most negotiated rates run $562 to $891.

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.

How much rates vary

Facilitymedian $309 · 10th to 90th $302 to $501Professionalmedian $708 · 10th to 90th $525 to $977
$200$500$1K$2Kfacility $309professional $708

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$562.34
Typical High
$575.44
BCBS Vermont
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$812.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$302.00
Median
$302.00
Typical High
$309.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$831.76
Typical High
$891.25
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$489.78
Median
$660.69
Typical High
$812.83
United
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
United
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$676.08
Typical High
$1,023.29

Where Vermont sits

The same service costs 5.4 times more in Alaska than in Texas. 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.

Vermont· 14th of 51

$692

AK $1,862TX $347

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.