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Illinois rates for MS-DRG 456

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Mcc

Facilitymedian $97,724 · 10th–90th $43,652–$147,9110%20%10th90th$97,724$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$70,794.58 / $107,151.93 / $147,910.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $93,325.43 / $138,038.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $93,325.43 / $169,824.37
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $1,047.13 / $1,584.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $95,499.26 / $151,356.12