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Nationwide rates for MS-DRG 496

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

Facilitymedian $25,119 · 10th–90th $10,233–$61,6600%10%10th90th$25,119$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
$16,982.44 / $30,902.95 / $53,703.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $34,673.69 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $21,379.62 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $23,442.29 / $47,863.01

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