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Knee Procedures without Pdx of Infection with Complications

Idaho rates for MS-DRG 488

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

Rates data updated July 2026.

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

$28,184

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $21,380 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,184 · 10th to 90th $16,218 to $45,709
$10.0K$20.0K$50.0Kfacility $28,184

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
$15,488.17
Median
$16,218.10
Typical High
$27,542.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$27,542.29
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$46,773.51
Typical High
$58,884.37
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$32,359.37
Typical High
$40,738.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$28,183.83
Typical High
$44,668.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$25,703.96
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$25,118.86
Typical High
$51,286.14

Where Idaho sits

The same service costs 3.7 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.

Idaho $28,184 · 26th of 51
MT $48,978NM $13,183

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.