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Illinois rates for HCPCS 43281

Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh

Facilitymedian $6,761 · 10th–90th $1,660–$22,9090%5%10th90th$6,761Professionalmedian $3,802 · 10th–90th $1,698–$8,9130%5%10%10th90th$3,802$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
$1,659.59 / $5,623.41 / $22,908.68
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,488.17 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $14,791.08 / $20,892.96
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,801.89 / $8,912.51
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
$2,754.23 / $8,709.64 / $16,982.44