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Knee Procedures with Pdx of Infection without Complications

Utah rates for MS-DRG 487

Knee procedures w pdx of infection w/o CC/MCC

Rates data updated July 2026.

How much does Knee Procedures with Pdx of Infection without Complications cost?

$23,988

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $21,380 to $30,200.

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 $23,988 · 10th to 90th $17,378 to $31,623
$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $23,988

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
$20,892.96
Median
$23,988.33
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$33,113.11
Typical High
$45,708.82
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$25,703.96
Typical High
$31,622.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$14,125.38
Typical High
$25,703.96
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$22,387.21
Typical High
$28,183.83

Where Utah sits

The same service costs 3.5 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $23,988 · 26th of 51
MT $43,652NM $12,589

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.