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New York rates for MS-DRG 493

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

Facilitymedian $61,660 · 10th–90th $24,547–$100,0000%10%10th90th$61,660$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$19,952.62 / $52,480.75 / $100,000.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $81,283.05 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $69,183.10 / $91,201.08
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $63,095.73 / $158,489.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $47,863.01 / $87,096.36