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

Virginia 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?

$21,380

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $17,378 to $25,704.

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 $21,380 · 10th to 90th $14,125 to $67,608
$10K$20K$50K$100Kfacility $21,380

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
$19,498.45
Typical High
$22,387.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$20,892.96
Typical High
$34,673.69
Sentara
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$22,387.21
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$16,595.87
Typical High
$32,359.37

Where Virginia 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.

Virginia· 16th of 51

$21,380

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.