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Nationwide rates for MS-DRG 485

Knee procedures w pdx of infection w MCC

Facilitymedian $33,113 · 10th–90th $10,471–$83,1760%5%10%10th90th$33,113$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
$29,512.09 / $53,703.18 / $93,325.43
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $53,703.18 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $21,877.62 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $41,686.94 / $83,176.38

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