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Lower Extremity and Humerus Procedures (with CC)

Massachusetts 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?

$39,811

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $23,988 to $53,703.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $39,811 · 10th to 90th $19,055 to $66,069
$500$2K$10K$50Kfacility $39,811

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
$23,988.33
Median
$41,686.94
Typical High
$66,069.34
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$36,307.81
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$38,018.94
Typical High
$56,234.13
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$54,954.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$36,307.81
Typical High
$97,723.72
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$36,307.81
Typical High
$97,723.72
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$29,512.09
Typical High
$75,857.76

Where Massachusetts 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.

Massachusetts· 25th of 51

$39,811

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.