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Lower Extremity and Humerus Procedures (with MCC)

Virginia 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?

$56,234

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $37,154 to $70,795.

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 $56,234 · 10th to 90th $24,547 to $81,283
$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $56,234

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
$45,708.82
Median
$57,543.99
Typical High
$74,131.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$69,183.10
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$57,543.99
Typical High
$87,096.36
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$47,863.01
Typical High
$74,131.02
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$32,359.37
Typical High
$100,000.00

Where Virginia sits

The same service costs 4.5 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Virginia $56,234 · 26th of 51
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.