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Texas rates for HCPCS 27535

Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed

Facilitymedian $2,754 · 10th–90th $851–$10,7150%5%10%10th90th$2,754$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,467.37 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,548.82 / $5,370.32
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $5,248.07 / $13,182.57
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $28,183.83
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,288.25 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $1,148.15 / $1,905.46
Providence
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $6,025.60 / $11,481.54