go back

Medicated Implant Placed Inside A Joint

Illinois rates for HCPCS 20704

Covers hand-mixing and shaping an implant that releases medication, commonly antibiotic-loaded cement formed into beads or a spacer, and placing it inside a joint during an operation so the drug is delivered straight to the tissue that needs it. The implant is temporary and is removed or exchanged at a later operation. It is billed in addition to the main procedure.

Rates data updated October 2026.

How much does Medicated Implant Placed Inside A Joint cost?

$963

Typical total for the visit. In Illinois, October 2026.

Insurers have agreed to pay about $963 for this procedure. That total is two separate charges: $204 to the doctor who performs it, and $759 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$204$170 to $269
Facility feeThe hospital or surgery center$759$331 to $1,738

How much rates vary

Facilitymedian $759 · 10th to 90th $151 to $3,388Professionalmedian $204 · 10th to 90th $151 to $275
$50$200$1K$5Kfacility $759professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$1,380.38
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$151.36
Typical High
$199.53
Ambetter
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$1,949.84
Typical High
$3,981.07
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$229.09
Typical High
$275.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$512.86
Median
$776.25
Typical High
$2,511.89
Cigna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$199.53
Typical High
$275.42
Hally Health
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$251.19
Typical High
$758.58
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
None
Typical Low
$173.78
Median
$190.55
Typical High
$213.80
Molina
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$239.88
United
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$457.09
Typical High
$1,949.84
United
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$177.83
Typical High
$302.00

Where Illinois sits

The same service costs 12.0 times more in Utah than in Florida. 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.

Physician feeFacility fee

Illinois· 17th of 51

$963

$204 physician + $759 facility

UT $3,137FL $261

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.