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Nationwide rates for MS-DRG 488

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

Facilitymedian $24,547 · 10th–90th $10,233$57,5440%10%10th90th$24,547$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$16,595.87 / $30,199.52 / $51,286.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $30,902.95 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $21,379.62 / $58,884.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $22,908.68 / $45,708.82