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Revision of Hip or Knee Replacement without Complications

Massachusetts 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?

$42,658

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $25,704 to $57,544.

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 $42,658 · 10th to 90th $20,893 to $72,444
$500$2K$10K$50Kfacility $42,658

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
$25,703.96
Median
$45,708.82
Typical High
$72,443.60
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$38,904.51
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$43,651.58
Typical High
$61,659.50
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$389.05
Typical High
$60,255.96
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$38,904.51
Typical High
$104,712.85
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$38,904.51
Typical High
$104,712.85
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$32,359.37
Typical High
$81,283.05

Where Massachusetts 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.

Massachusetts· 25th of 51

$42,658

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.