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New Jersey rates for HCPCS 27130

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

Facilitymedian $14,125 · 10th–90th $4,571–$23,4420%10%20%10th90th$14,125Professionalmedian $1,445 · 10th–90th $275–$9,1200%10%10th90th$1,445$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$4,570.88 / $14,125.38 / $22,908.68
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,862.09 / $10,000.00 / $25,118.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $2,089.30 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$162.18 / $331.13 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $1,148.15
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $14,791.08 / $23,988.33
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,995.26 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,848.93 / $16,595.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,949.84 / $4,265.80
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,445.44 / $1,995.26
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $23,442.29 / $56,234.13
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,584.89 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $10,715.19 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,479.11 / $3,981.07