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Nationwide rates for MS-DRG 466

Revision of hip or knee replacement w MCC

Facilitymedian $42,658 · 10th–90th $10,471$123,0270%5%10th90th$42,658$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$41,686.94 / $83,176.38 / $151,356.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $91,201.08 / $147,910.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $22,387.21 / $77,624.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $64,565.42 / $128,824.96