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Transplanting Cartilage Plugs Into The Knee

Texas rates for HCPCS 27416

Takes small cylinders of cartilage with the bone beneath them from a part of the knee that carries little weight, and presses them into a damaged area of the joint surface through an open incision. The transplanted plugs restore a smooth surface where cartilage has been lost. The tissue comes from the patient's own knee, so there is no risk of rejection.

Facilitymedian $4,169 · 10th–90th $1,000$14,1250%5%10th90th$4,169Professionalmedian $1,072 · 10th–90th $871$1,7780%20%10th90th$1,072$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
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,023.29
Typical High
$1,778.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$9,549.93
Typical High
$18,197.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,148.15
Typical High
$1,548.82
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$870.96
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$1,659.59
Typical High
$1,659.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,288.25
Typical High
$2,041.74
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$20,892.96
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,511.38
Typical High
$8,511.38
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,445.44
Typical High
$5,128.61
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$912.01
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$912.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,258.93
Typical High
$2,137.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$6,165.95
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,621.81
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$933.25
Typical High
$933.25