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Knee Procedures without Pdx of Infection with Complications

Virginia rates for MS-DRG 488

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

Rates data updated July 2026.

Facilitymedian $34,674 · 10th–90th $21,380$67,6080%10%10th90th$34,674$1.0K$2.0K$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
$30,902.95
Typical High
$35,481.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$33,113.11
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$33,113.11
Typical High
$45,708.82
Sentara
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$37,153.52
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$22,908.68
Typical High
$48,977.88