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Lower Extremity and Humerus Procedures (with MCC)

Colorado rates for MS-DRG 492

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with MCC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (with MCC) cost?

$89,125

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $89,125 for this service. Most negotiated rates run $63,096 to $104,713.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89,125 · 10th to 90th $46,774 to $138,038
$50K$100K$200Kfacility $89,125

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
$42,657.95
Median
$91,201.08
Typical High
$109,647.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$89,125.09
Typical High
$165,958.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$56,234.13
Typical High
$104,712.85
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$52,480.75
Typical High
$70,794.58
United
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$67,608.30
Typical High
$97,723.72

Where Colorado sits

The same service costs 4.5 times more in New York than in Michigan. 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.

Colorado· 3rd of 51

$89,125

NY $95,499MI $21,380

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.