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Lower Extremity and Humerus Procedures (without CC/MCC)

Colorado rates for MS-DRG 494

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur without CC/MCC

Rates data updated October 2026.

How much does Lower Extremity and Humerus Procedures (without CC/MCC) cost?

$35,481

Typical facility fee. In Colorado, October 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $27,542 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35,481 · 10th to 90th $24,547 to $56,234
$100$1K$10K$100Kfacility $35,481

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$44,668.36
Typical High
$60,255.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$35,481.34
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$31,622.78
Typical High
$48,977.88
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$229.09
Select Health
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$28,183.83
Typical High
$38,018.94
United
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$35,481.34
Typical High
$51,286.14

Where Colorado sits

The same service costs 195.0 times more in Alaska than in Hawaii. 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.

Colorado· 13th of 51

$35,481

AK $53,703HI $275

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.