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New York rates for HCPCS 27826

Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of fibula only

Facilitymedian $5,888 · 10th–90th $1,288–$14,4540%5%10th90th$5,888$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,122.02 / $4,265.80 / $10,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,220.18 / $18,620.87
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,995.26 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,862.09 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,288.25 / $3,162.28
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $13,803.84 / $13,803.84
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $6,309.57 / $15,488.17
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $1,023.29 / $3,311.31