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Complicated Removal of a Hip Replacement

North Carolina rates for HCPCS 27091

Takes out an artificial hip in a situation that makes removal difficult, such as cement that has to be chipped out of the thigh bone piece by piece without cracking it. A temporary spacer, often loaded with antibiotic, may be set into the empty joint to hold the space and treat infection until a new hip can be fitted. It is a longer and more demanding operation than a straightforward removal.

Rates data updated July 2026.

How much does Complicated Removal of a Hip Replacement cost?

$2,512

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $2,512 for this service. Most negotiated rates run $1,660 to $6,026.

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 $2,512 · 10th to 90th $1,549 to $8,710Professionalmedian $2,570 · 10th to 90th $2,570 to $3,631
$1K$2K$5K$10K$20Kfacility $2,512professional $2,570

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,380.38
Median
$4,073.80
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$3,630.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$6,918.31
Typical High
$12,882.50
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$38,018.94
Typical High
$38,018.94
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$3,801.89
Median
$3,801.89
Typical High
$3,801.89

Where North Carolina sits

The same service costs 16.6 times more in Maine than in West Virginia. 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.

North Carolina· 41st of 50

$2,512

ME $26,303WV $1,585

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.