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Lower Extremity and Humerus Procedures (with CC)

California rates for MS-DRG 493

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

Rates data updated July 2026.

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

$48,978

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $45,709 to $63,096.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $48,978 · 10th to 90th $28,840 to $91,201
$500$2K$10K$50Kfacility $48,978

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
$39,810.72
Median
$53,703.18
Typical High
$85,113.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$48,977.88
Typical High
$91,201.08
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$39,810.72
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$51,286.14
Typical High
$89,125.09
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$91,201.08
Median
$91,201.08
Typical High
$91,201.08
Providence
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$56,234.13
Typical High
$91,201.08
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$33,113.11
Typical High
$77,624.71

Where California sits

The same service costs 3.2 times more in New York 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.

California· 10th of 51

$48,978

NY $66,069NM $20,417

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.