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Knee Procedures with Pdx of Infection with Complications

Virginia 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?

$33,113

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $33,113 for this service. Most negotiated rates run $26,915 to $39,811.

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 $33,113 · 10th to 90th $20,893 to $46,774
$10K$20K$50Kfacility $33,113

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
$29,512.09
Median
$36,307.81
Typical High
$42,657.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$38,904.51
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$34,673.69
Typical High
$50,118.72
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$30,199.52
Typical High
$42,657.95
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$28,840.32
Typical High
$57,543.99

Where Virginia 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.

Virginia· 22nd of 51

$33,113

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.