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Illinois rates for MS-DRG 462

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

Facilitymedian $32,359 · 10th–90th $19,953–$53,7030%10%10th90th$32,359$100.0$500.0$2.0K$10.0K$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
$25,118.86 / $34,673.69 / $60,255.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $30,199.52 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $29,512.09 / $52,480.75
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $338.84 / $501.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $32,359.37 / $47,863.01