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North Carolina rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Facilitymedian $63,096 · 10th–90th $33,113–$109,6480%10%20%10th90th$63,096$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$26,302.68 / $54,954.09 / $109,647.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $58,884.37 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $85,113.80 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $75,857.76 / $125,892.54