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Pennsylvania rates for HCPCS 27130

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

Facilitymedian $12,882 · 10th–90th $4,677$37,1540%5%10%10th90th$12,882Professionalmedian $1,349 · 10th–90th $219$3,7150%10%10th90th$1,349$10.0$50.0$200.0$1.0K$5.0K$20.0K$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
$4,677.35 / $12,302.69 / $37,153.52
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$5,128.61 / $10,964.78 / $29,512.09
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$6,456.54 / $50,118.72 / $63,095.73
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $1,698.24 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$162.18 / $331.13 / $933.25
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $1,148.15 / $2,187.76
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $20,417.38 / $77,624.71
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,412.54 / $1,584.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,949.84 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,621.81 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,862.09 / $2,398.83
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,584.89 / $2,454.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $25,118.86 / $47,863.01
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$12,022.64 / $12,022.64 / $23,442.29
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$12,882.50 / $25,118.86 / $158,489.32
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,659.59 / $2,089.30
Highmark BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$208.93 / $229.09 / $281.84
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $19,498.45 / $37,153.52
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,412.54 / $1,778.28
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $8,317.64 / $38,018.94
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,659.59 / $2,884.03
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,041.74 / $2,951.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,905.46 / $1,905.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,258.93 / $1,905.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $10,964.78 / $40,738.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,584.89 / $2,884.03