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Texas rates for MS-DRG 516

Other musculoskelet sys & conn tiss O.R. proc w CC

Facilitymedian $29,512 · 10th–90th $13,183–$48,9780%10%10th90th$29,512$2.0K$5.0K$10.0K$20.0K$50.0K$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
$23,988.33 / $30,199.52 / $48,977.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $20,892.96 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $31,622.78 / $58,884.37
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $74,131.02
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $30,199.52 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $26,915.35 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $53,703.18