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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 July 2026.

How much does Knee Intercondylar Fracture Treatment, Closed cost?

$562

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $562 for this service. Most negotiated rates run $525 to $575.

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

Professionalmedian $562 · 10th to 90th $525 to $708
$200.0$500.0$1.0K$2.0Kprofessional $562

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
Professional
Modifier
Global
Typical Low
$524.81
Median
$537.03
Typical High
$575.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$645.65
Typical High
$954.99
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$645.65
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$630.96
Typical High
$1,148.15

Where Vermont sits

The same service costs 3.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $562 · 31st of 51
CA $1,820DE $479

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.