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Texas rates for HCPCS 27530

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

Facilitymedian $1,000 · 10th–90th $288$5,8880%5%10th90th$1,000Professionalmedian $347 · 10th–90th $263$6030%10%10th90th$347$50.0$200.0$1.0K$5.0K

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
$457.09 / $2,187.76 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $363.08 / $630.96
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $346.74 / $602.56
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $363.08 / $776.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $478.63
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $263.03 / $549.54
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $426.58 / $602.56
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $501.19
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
$288.40 / $407.38 / $645.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $19,498.45 / $19,498.45
Lucent Health
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$1,288.25 / $1,288.25 / $1,288.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,754.23 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $467.74 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $660.69
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $239.88 / $288.40
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $1,122.02 / $1,318.26
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $426.58 / $660.69
Providence
Facility/Professional
Facility
Modifier
54
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $851.14 / $2,238.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $323.59 / $512.86
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $346.74 / $354.81