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Nationwide rates for MS-DRG 467

Revision of hip or knee replacement w CC

Facilitymedian $35,481 · 10th–90th $10,715$93,3250%5%10%10th90th$35,481$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
$30,902.95 / $57,543.99 / $102,329.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $63,095.73 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $22,387.21 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $45,708.82 / $89,125.09