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Nationwide rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Facilitymedian $29,512 · 10th–90th $10,471–$69,1830%10%10th90th$29,512$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $41,686.94 / $74,131.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $45,708.82 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $21,877.62 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $31,622.78 / $63,095.73

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