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Revision of Hip or Knee Replacement without Complications

Idaho rates for MS-DRG 468

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

Rates data updated July 2026.

How much does Revision of Hip or Knee Replacement without Complications cost?

$38,905

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $28,840 to $52,481.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $23,988 to $63,096
$20K$50K$100Kfacility $38,905

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$25,118.86
Typical High
$42,657.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$39,810.72
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$72,443.60
Typical High
$91,201.08
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$45,708.82
Typical High
$57,543.99
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$37,153.52
Typical High
$57,543.99
Select Health
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$34,673.69
Typical High
$54,954.09
United
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$38,904.51
Typical High
$50,118.72

Where Idaho sits

The same service costs 3.3 times more in New York than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Idaho· 30th of 51

$38,905

NY $70,795MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.