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Synthetic Mesh Reinforcement Of The Abdominal Wall

Illinois rates for HCPCS 0437T

Places a sheet of synthetic mesh to strengthen the tough tissue layer of the abdominal wall. It is performed alongside a primary operation and charged in addition to it. The primary procedure is charged separately.

Rates data updated July 2026.

How much does Synthetic Mesh Reinforcement Of The Abdominal Wall cost?

$324

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $324 from a physician practice, and about $1,549 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$324$275 to $331
FacilityA hospital or hospital-owned outpatient department$1,549$955 to $3,236

How much rates vary

Facilitymedian $1,549 · 10th to 90th $380 to $5,623Professionalmedian $324 · 10th to 90th $214 to $417
$200$500$1K$2K$5K$10Kfacility $1,549professional $324

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,621.81
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$281.84
Typical High
$371.54
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$331.13
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$323.59
Typical High
$389.05
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$416.87
Typical High
$562.34
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$380.19
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$457.09
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$812.83
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$371.54
Typical High
$602.56

Where Illinois sits

The same service costs 6.9 times more in California than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 17th of 51

$324

CA $1,778KY $257

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.