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Wisconsin rates for HCPCS 27130

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

Facilitymedian $16,596 · 10th–90th $7,244–$29,5120%10%20%10th90th$16,596Professionalmedian $1,514 · 10th–90th $200–$8,7100%5%10%10th90th$1,514$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
$8,317.64 / $18,620.87 / $30,902.95
Aetna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$6,165.95 / $6,165.95 / $6,165.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $2,691.53 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$158.49 / $354.81 / $1,513.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,570.40 / $7,079.46
Anthem BCBS
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$186.21 / $371.54 / $1,000.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,584.89 / $2,089.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,365.16 / $6,456.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $5,128.61 / $5,754.40
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,884.03 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,019.95 / $3,890.45
DeanCare
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$316.23 / $426.58 / $549.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $8,912.51 / $21,877.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,630.27 / $13,489.63
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $12,882.50 / $27,542.29
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $3,311.31 / $5,623.41
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,754.23 / $4,073.80
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $39,810.72 / $53,703.18
Quartz
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$25,703.96 / $25,703.96 / $37,153.52
Quartz
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$22,908.68 / $22,908.68 / $33,884.42
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $5,370.32
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $6,456.54 / $13,489.63
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,079.46 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $18,197.01 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,365.16 / $9,332.54
United
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$85.11 / $389.05 / $660.69