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Knee Procedures with Pdx of Infection with Complications

Tennessee rates for MS-DRG 486

Knee procedures w pdx of infection w CC

Rates data updated July 2026.

How much does Knee Procedures with Pdx of Infection with Complications cost?

$25,704

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $18,197 to $37,154.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25,704 · 10th to 90th $13,804 to $51,286
$2K$5K$10K$20K$50Kfacility $25,704

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
$17,378.01
Median
$41,686.94
Typical High
$52,480.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$19,952.62
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$26,302.68
Typical High
$35,481.34
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$25,118.86
Typical High
$42,657.95

Where Tennessee sits

The same service costs 3.2 times more in New York than in New Mexico. 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.

Tennessee· 35th of 51

$25,704

NY $54,954NM $16,982

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.