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Nationwide rates for MS-DRG 462

Bilateral or multiple major joint procs of lower extremity w/o MCC

Facilitymedian $32,359 · 10th–90th $10,471–$77,6250%5%10%10th90th$32,359$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$24,547.09 / $45,708.82 / $79,432.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $50,118.72 / $134,896.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $21,877.62 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $36,307.81 / $72,443.60

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