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North Carolina rates for HCPCS 27442

Arthroplasty, femoral condyles or tibial plateau(s), knee;

Facilitymedian $1,905 · 10th–90th $891–$12,5890%10%10th90th$1,905Professionalmedian $1,479 · 10th–90th $1,479–$1,9950%20%40%90th$1,479$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
$1,202.26 / $3,235.94 / $11,481.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,801.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $15,848.93
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,479.11 / $1,995.26
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,148.15 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $11,748.98 / $19,498.45
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $51,286.14 / $51,286.14