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Knee Procedures without Pdx of Infection (without CC/MCC)

Idaho rates for MS-DRG 489

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

Rates data updated July 2026.

How much does Knee Procedures without Pdx of Infection (without CC/MCC) cost?

$18,197

Typical facility fee. In Idaho, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $13,490 to $25,119.

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 $18,197 · 10th to 90th $11,482 to $28,840
$10K$20Kfacility $18,197

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
$9,772.37
Median
$13,489.63
Typical High
$17,378.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$18,197.01
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$29,512.09
Typical High
$37,153.52
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$20,417.38
Typical High
$26,915.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$17,782.79
Typical High
$26,915.35
Select Health
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,218.10
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$15,848.93
Typical High
$40,738.03

Where Idaho sits

The same service costs 3.8 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.

Idaho· 26th of 51

$18,197

MT $33,884NM $8,913

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.