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Knee Procedures without Pdx of Infection with Complications

New Jersey rates for MS-DRG 488

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

Rates data updated July 2026.

Facilitymedian $40,738 · 10th–90th $21,878$57,5440%10%10th90th$40,738$5.0K$10.0K$20.0K$50.0K$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
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$42,657.95
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$42,657.95
Typical High
$56,234.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$42,657.95
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$38,018.94
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$17,378.01
Typical High
$48,977.88