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Lower Extremity and Humerus Procedures (with CC)

New York 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?

$66,069

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $66,069 for this service. Most negotiated rates run $42,658 to $83,176.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $66,069 · 10th to 90th $26,303 to $100,000
$20K$50K$100Kfacility $66,069

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
$20,417.38
Median
$52,480.75
Typical High
$100,000.00
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$83,176.38
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$70,794.58
Typical High
$91,201.08
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$63,095.73
Typical High
$128,824.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$47,863.01
Typical High
$87,096.36

Where New York 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.

New York· 1st of 51

$66,069

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.