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Orbital Procedures with Complications

Illinois rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures with Complications cost?

$26,915

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $22,387 to $32,359.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,915 · 10th to 90th $537 to $39,811
$100.0$500.0$2.0K$10.0K$50.0Kfacility $26,915

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
$23,442.29
Median
$30,199.52
Typical High
$39,810.72
BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$26,302.68
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$26,302.68
Typical High
$46,773.51
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$295.12
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$28,840.32
Typical High
$41,686.94

Where Illinois sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $26,915 · 41st of 51
NY $61,660NM $19,055

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.