go back

Lower Extremity and Humerus Procedures (with CC)

Texas 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?

$28,840

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $19,953 to $39,811.

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 $28,840 · 10th to 90th $14,454 to $58,884
$10K$20K$50K$100Kfacility $28,840

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
$18,620.87
Median
$36,307.81
Typical High
$64,565.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$23,988.33
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$38,904.51
Typical High
$70,794.58
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
$22,387.21
Median
$32,359.37
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$23,988.33
Typical High
$51,286.14

Where Texas 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.

Texas· 39th of 51

$28,840

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.