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North Carolina rates for HCPCS 27130

Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft

Facilitymedian $10,000 · 10th–90th $2,188$24,5470%10%10th90th$10,000Professionalmedian $1,349 · 10th–90th $204$3,7150%10%10th90th$1,349$50.0$200.0$1.0K$5.0K$20.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $10,000.00 / $23,442.29
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$7,413.10 / $7,413.10 / $7,413.10
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $47,863.01
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,819.70 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$162.18 / $323.59 / $891.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $1,148.15 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $19,498.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,884.03 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $19,498.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,905.46 / $3,311.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,951.21
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,819.70 / $2,951.21
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,995.26 / $2,630.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $21,379.62 / $30,902.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,548.82 / $2,818.38
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $53,703.18 / $53,703.18
Wellcare
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
Wellcare
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $33,884.42
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $5,370.32
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $14,125.38