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Revision of a Below-Knee Amputation

North Dakota rates for HCPCS 27886

A second operation on a leg that has already been amputated below the knee, in which the end of the limb is opened and bone and soft tissue are trimmed back to healthy, well-covered levels. It is done when the original stump has failed to heal, has become infected, or is shaped so that it cannot take a prosthetic limb comfortably. The goal is a stump that heals soundly and tolerates a socket.

Rates data updated October 2026.

How much does Revision of a Below-Knee Amputation cost?

$3,180

Typical total for the visit. In North Dakota, October 2026.

Insurers have agreed to pay about $3,180 for this procedure. That total is two separate charges: $1,230 to the doctor who performs it, and $1,950 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,230$1,047 to $1,413
Facility feeThe hospital or surgery center$1,950$646 to $4,898

How much rates vary

Facilitymedian $1,950 · 10th to 90th $646 to $5,370Professionalmedian $1,230 · 10th to 90th $692 to $1,622
$100$200$500$1K$2K$5Kfacility $1,950professional $1,230

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Aetna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$645.65
Typical High
$645.65
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,380.38
Typical High
$1,621.81
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,258.93
Median
$1,659.59
Typical High
$1,949.84
BCBS North Dakota
Setting
Professional
Modifier
50 · Both sides
Typical Low
$1,584.89
Median
$2,041.74
Typical High
$2,398.83
BCBS North Dakota
Setting
Professional
Modifier
54 · Surgery only
Typical Low
$741.31
Median
$954.99
Typical High
$1,122.02
BCBS North Dakota
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$104.71
Median
$138.04
Typical High
$162.18
BCBS North Dakota
Setting
Professional
Modifier
78 · Unplanned return to OR
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,202.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,288.25
Typical High
$1,905.46
Medica
Setting
Facility
Modifier
None
Typical Low
$645.65
Median
$3,235.94
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,202.26
Typical High
$1,659.59
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,897.79
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$1,202.26
Typical High
$1,288.25

Where North Dakota sits

The same service costs 7.6 times more in Oklahoma than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

North Dakota· 41st of 51

$3,180

$1,230 physician + $1,950 facility

OK $11,248TX $1,472

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.