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Lower Extremity and Humerus Procedures (without CC/MCC)

Georgia 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?

$32,359

Typical facility fee. In Georgia, October 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $19,498 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 $32,359 · 10th to 90th $8,128 to $58,884
$100$500$2K$10K$50Kfacility $32,359

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
$26,302.68
Median
$33,884.42
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$26,915.35
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$41,686.94
Typical High
$61,659.50
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$37,153.52
Typical High
$58,884.37

Where Georgia 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.

Georgia· 20th of 51

$32,359

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.