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North Carolina rates for HCPCS 27438

Arthroplasty, patella; with prosthesis

Facilitymedian $2,042 · 10th–90th $871–$12,5890%5%10%10th90th$2,042Professionalmedian $1,380 · 10th–90th $1,380–$1,9500%20%40%90th$1,380$1.0K$2.0K$5.0K$10.0K$20.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $5,370.32 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $15,135.61
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,949.84
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,122.02 / $1,778.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $14,791.08 / $23,442.29
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $38,904.51 / $42,657.95
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$3,890.45 / $3,890.45 / $3,890.45