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Pennsylvania rates for HCPCS 27530

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

Facilitymedian $2,089 · 10th–90th $363–$7,7620%5%10th90th$2,089Professionalmedian $363 · 10th–90th $269–$7590%20%10th90th$363$5.0$20.0$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
$426.58 / $2,089.30 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $812.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,258.93 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $426.58 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $380.19 / $630.96
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $724.44
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $707.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $549.54 / $1,621.81
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $331.13 / $407.38
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,737.80 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $380.19 / $676.08
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $707.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $309.03 / $363.08
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $309.03 / $467.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $660.69 / $3,890.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $354.81 / $602.56