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Nationwide rates for MS-DRG 486

Knee procedures w pdx of infection w CC

Facilitymedian $26,915 · 10th–90th $10,233$61,6600%10%10th90th$26,915$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
$19,498.45 / $35,481.34 / $61,659.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $37,153.52 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $21,379.62 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $27,542.29 / $53,703.18