CPT 27130 · professional fee

Total hip arthroplasty (CPT 27130): negotiated rates by payer and state

What UnitedHealthcare, Aetna, Cigna and Blue Cross Blue Shield pay for CPT 27130, from their published in-network rate files.

Orthopedic surgerySnapshot Aug 2026Professional fee only

National summary

Commercial in-network, four payers combined, professional fee

Median rate

$2,158

P10 to P90: $1,380 to $3,731

vs Medicare

186%

non-facility rate $1,162.02

Payer spread

1.38×

UHC $2,411 vs Aetna $1,750

State spread

4.2×

AK $6,654 to OK $1,594

5,035 sampled providers6,064 TINs51 statesSample-based · how this is calculated

What the data shows

Generated from this code's own numbers

UnitedHealthcare has the highest median for CPT 27130 in the files analyzed, at $2,411, 38% above Aetna ($1,750), the lowest of the 4 payers shown.

The state spread is 4.2×: Alaska has the highest median at $6,654 and Oklahoma the lowest at $1,594, a gap larger than the gap between the highest and lowest payer.

Commercial rates run 186% of the Medicare non-facility rate ($1,162.02), which ranks 57th of 228 tracked codes by commercial-to-Medicare ratio.

Rates are tightest within Aetna (interquartile range $785) and widest within UnitedHealthcare ($1,318).

This is a top-4 code for orthopedic surgery by Medicare allowed dollars, so it carries real revenue weight for that specialty.

Rates by payer

Median of per-provider median rates, with interquartile range

Payer	Median	P25	P75	vs national	Rank	Providers	Position
UnitedHealthcare	$2,411	$1,832	$3,149	+12%	1	4,263	208% of Medicare
Blue Cross Blue Shield	$2,260	$1,720	$2,848	+5%	2	3,845	194% of Medicare
Cigna	$2,240	$1,784	$2,857	+4%	3	4,049	193% of Medicare
Aetna	$1,750	$1,380	$2,165	-19%	4	3,181	151% of Medicare

Rate distribution

Box = P25 to P75, whiskers = P10 to P90, tick = median, dashed line = Medicare non-facility ($1,162.02)

Rates by state

Median across payers · 51 states with enough data

Rank	State	Median	vs national	Highest payer	Lowest payer	Providers
1	Alaska	$6,654	+208%	Aetna	BCBS	65
2	Wisconsin	$3,285	+52%	BCBS	Aetna	92
3	South Dakota	$2,967	+37%	UHC	Aetna	97
4	Wyoming	$2,960	+37%	BCBS	UHC	65
5	Connecticut	$2,939	+36%	UHC	Aetna	114
6	New Jersey	$2,885	+34%	UHC	Aetna	95
7	Iowa	$2,833	+31%	UHC	Aetna	104
8	Mississippi	$2,797	+30%	BCBS	Cigna	112
9	District of Columbia	$2,735	+27%	Aetna	BCBS	35
10	Washington	$2,724	+26%	UHC	Aetna	101
11	North Carolina	$2,682	+24%	BCBS	Aetna	121
12	Oregon	$2,588	+20%	UHC	Aetna	93
13	Nebraska	$2,546	+18%	Cigna	Aetna	95
14	North Dakota	$2,539	+18%	UHC	Aetna	46
15	Vermont	$2,481	+15%	UHC	Cigna	35
16	Tennessee	$2,446	+13%	UHC	Aetna	115
17	Massachusetts	$2,428	+12%	UHC	Aetna	111
18	Georgia	$2,409	+12%	UHC	Aetna	124
19	Rhode Island	$2,278	+6%	UHC	Aetna	98
20	Idaho	$2,212	+2%	Aetna	Cigna	120
21	Illinois	$2,122	-2%	UHC	Aetna	103
22	Arkansas	$2,118	-2%	BCBS	Aetna	119
23	Maryland	$2,113	-2%	UHC	BCBS	105
24	Colorado	$2,104	-3%	UHC	Aetna	106
25	Alabama	$2,062	-4%	BCBS	Cigna	118
26	Pennsylvania	$2,055	-5%	UHC	Aetna	103
27	Montana	$2,031	-6%	UHC	BCBS	79
28	New Hampshire	$2,029	-6%	UHC	Aetna	118
29	Virginia	$2,029	-6%	UHC	BCBS	105
30	South Carolina	$2,022	-6%	BCBS	Aetna	106
31	Kansas	$1,984	-8%	Cigna	Aetna	108
32	Indiana	$1,975	-8%	UHC	Aetna	115
33	West Virginia	$1,956	-9%	UHC	Aetna	86
33	Kentucky	$1,956	-9%	UHC	Aetna	124
35	New York	$1,950	-10%	Cigna	Aetna	110
36	New Mexico	$1,942	-10%	UHC	BCBS	105
37	Utah	$1,932	-10%	UHC	BCBS	96
38	Arizona	$1,904	-12%	UHC	Aetna	99
39	Delaware	$1,898	-12%	Cigna	Aetna	59
40	Missouri	$1,887	-13%	BCBS	Aetna	112
41	Nevada	$1,882	-13%	BCBS	Aetna	108
42	Ohio	$1,874	-13%	UHC	Aetna	110
43	Maine	$1,849	-14%	UHC	Aetna	93
44	Michigan	$1,814	-16%	BCBS	Aetna	103
45	Louisiana	$1,797	-17%	UHC	Aetna	103
46	Minnesota	$1,712	-21%	UHC	Aetna	98
47	California	$1,681	-22%	Cigna	Aetna	109
48	Florida	$1,649	-24%	BCBS	Aetna	108
49	Texas	$1,611	-25%	UHC	Aetna	121
50	Hawaii	$1,596	-26%	BCBS	UHC	68
51	Oklahoma	$1,594	-26%	UHC	Aetna	100

Frequently asked questions

Answers use this page's data

Which payer has the highest median rate for CPT 27130?

In the files we analyzed, UnitedHealthcare, at a median of $2,411 across 4,263 sampled providers. Aetna is lowest at $1,750, 38% lower than the highest.

How does the commercial rate compare with Medicare?

The national median is 186% of the 2026 Medicare non-facility rate of $1,162.02.

Which state has the highest median for CPT 27130?

Alaska has the highest median at $6,654; Oklahoma has the lowest at $1,594.

Is this the surgeon, physician or facility payment?

These are professional (physician) fees only. Facility, device and implant payments are priced separately and are not included.

How current is this data?

It is the August 2026 snapshot of each payer's in-network rate file. Sources and filters are listed in the methodology below.

Methodology

How these numbers are calculated

Source: in-network negotiated-rate files published under the federal Transparency in Coverage rule, August 2026 snapshot: UnitedHealthcare Choice plans (74 files); Aetna commercial plans (70 files); Cigna national PPO (1 files); BCBS licensees' own-network files (5,387 files). Payer comparisons describe these files, not each payer's entire book of business.
Sample: rates come from a random sample of up to 150 providers per state and specialty. Counts on this page are sampled providers and TINs, not totals.
Which providers count: only providers in a specialty relevant to the code, because a rate in a payer file attaches to a provider group and is listed under every provider in that group.
Filters: fee-for-service, professional billing class, no modifier, negotiated or fee-schedule dollar rates. Rates outside 1% to 1,000% of the Medicare rate are excluded.
Statistic: one median rate per provider, then percentiles across providers. A cell is shown only with at least 15 sampled providers and 4 TINs.
Medicare benchmark: CY2026 national physician fee schedule, non-QPP conversion factor, unadjusted for locality. Where the non-facility rate is more than twice the facility rate (office rates that include device or supply cost), the facility rate is used so comparisons are like for like.

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