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Knee Procedures without Pdx of Infection with Complications

Utah 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?

$28,840

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $23,988 to $33,884.

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 $28,840 · 10th to 90th $19,498 to $37,154
$20K$50Kfacility $28,840

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
$23,442.29
Median
$29,512.09
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$37,153.52
Typical High
$52,480.75
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$28,840.32
Typical High
$36,307.81
Select Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$17,378.01
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$25,118.86
Typical High
$29,512.09

Where Utah sits

The same service costs 3.7 times more in Montana 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.

Utah· 24th of 51

$28,840

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.