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Lower Extremity and Humerus Procedures (with CC)

Virginia 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?

$38,019

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $28,184 to $47,863.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $21,380 to $56,234
$10K$20K$50Kfacility $38,019

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
$29,512.09
Median
$38,904.51
Typical High
$51,286.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$47,863.01
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$39,810.72
Typical High
$60,255.96
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$32,359.37
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$25,118.86
Typical High
$69,183.10

Where Virginia 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.

Virginia· 27th of 51

$38,019

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.