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Illinois rates for HCPCS 27536

Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation

Facilitymedian $4,467 · 10th–90th $1,230$11,7490%5%10th90th$4,467Professionalmedian $2,042 · 10th–90th $1,288$5,2480%5%10%10th90th$2,042$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
$1,230.27 / $4,168.69 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $10,964.78 / $26,302.68
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $2,041.74 / $5,248.07
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,165.95 / $12,302.69