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New York rates for HCPCS 27530

Closed treatment of tibial fracture, proximal (plateau); without manipulation

Facilitymedian $3,090 · 10th–90th $447$7,4130%5%10th90th$3,090Professionalmedian $398 · 10th–90th $275$8710%10%10th90th$398$100.0$500.0$2.0K$10.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $2,818.38 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,630.78 / $5,011.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $323.59 / $776.25
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $1,258.93 / $4,073.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,318.26 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $501.19 / $1,258.93
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $489.78 / $1,174.90
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $575.44 / $794.33
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Excellus BCBS
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $416.87 / $676.08
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $416.87 / $758.58
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $407.38 / $870.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $2,398.83 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $407.38 / $1,258.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $354.81 / $1,548.82
Univera
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$190.55 / $199.53 / $281.84
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $407.38 / $933.25