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North Carolina rates for HCPCS 27486

Revision of total knee arthroplasty, with or without allograft; 1 component

Facilitymedian $9,333 · 10th–90th $1,380–$19,9530%10%20%10th90th$9,333Professionalmedian $2,344 · 10th–90th $2,344–$3,2360%20%40%90th$2,344$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $10,000.00 / $19,952.62
Aetna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,128.61 / $7,244.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $3,235.94
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,862.09 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $21,379.62 / $30,902.95
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $38,018.94 / $38,018.94
Wellcare
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $3,801.89