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Illinois rates for HCPCS 27828

Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula

Facilitymedian $5,012 · 10th–90th $1,349$14,4540%10%10th90th$5,012Professionalmedian $2,239 · 10th–90th $1,413$5,8880%10%20%10th90th$2,239$50.0$200.0$1.0K$5.0K$20.0K

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
$1,348.96 / $4,786.30 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $18,620.87 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $17,378.01
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,238.72 / $5,888.44
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
$3,715.35 / $8,912.51 / $16,982.44