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Nationwide rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Facilitymedian $35,481 · 10th–90th $10,471–$91,2010%5%10%10th90th$35,481$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $61,659.50 / $104,712.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $69,183.10 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $22,387.21 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $46,773.51 / $91,201.08

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