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California rates for MS-DRG 559

Aftercare, musculoskeletal system & connective tissue w MCC

Facilitymedian $46,774 · 10th–90th $23,442$79,4330%10%20%10th90th$46,774$100.0$500.0$2.0K$10.0K$50.0K

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
$21,877.62 / $43,651.58 / $81,283.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $46,773.51 / $77,624.71
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $33,884.42 / $66,069.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $38,018.94 / $66,069.34
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $67,608.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $41,686.94 / $74,131.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $33,884.42 / $72,443.60