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New York 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 $1,820$52,4810%5%10%10th90th$10,000Professionalmedian $1,380 · 10th–90th $209$3,9810%10%10th90th$1,380$10.0$100.0$1.0K$10.0K$100.0K

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
$1,737.80 / $9,549.93 / $52,480.75
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$19,498.45 / $31,622.78 / $81,283.05
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,778.28 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$165.96 / $331.13 / $794.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $1,230.27 / $2,398.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $13,182.57 / $63,095.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,548.82 / $4,073.80
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$165.96 / $208.93 / $537.03
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,388.44 / $10,232.93
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $43,651.58 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,290.87 / $6,309.57
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,089.30 / $8,128.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,905.46 / $3,548.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$954.99 / $954.99 / $954.99
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,698.24 / $2,691.53
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $18,197.01 / $25,118.86
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,778.28 / $3,715.35
Highmark BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$223.87 / $257.04 / $512.86
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,778.28 / $2,884.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $9,120.11 / $37,153.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,089.30 / $7,413.10
United
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,513.56 / $6,456.54
Univera
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$812.83 / $933.25 / $1,202.26
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,584.89 / $3,630.78