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Nationwide rates for MS-DRG 511

Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc

Facilitymedian $26,915 · 10th–90th $10,233$60,2560%10%10th90th$26,915$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$19,498.45 / $34,673.69 / $60,255.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $39,810.72 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $21,379.62 / $60,255.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $26,915.35 / $52,480.75