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Nationwide rates for MS-DRG 468

Revision of hip or knee replacement w/o CC/MCC

Facilitymedian $32,359 · 10th–90th $10,471$77,6250%5%10%10th90th$32,359$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
$24,547.09 / $45,708.82 / $79,432.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $48,977.88 / $100,000.00
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
$16,218.10 / $36,307.81 / $70,794.58