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Utah rates for MS-DRG 462

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

Facilitymedian $46,774 · 10th–90th $37,154–$67,6080%20%10th90th$46,774$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
$38,018.94 / $50,118.72 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $56,234.13 / $77,624.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $43,651.58 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $38,018.94 / $66,069.34