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Lower Extremity and Humerus Procedures (with CC)

Illinois rates for MS-DRG 493

Lower Extremity and Humerus Procedures Except Hip, Foot, Femur with CC

Rates data updated July 2026.

How much does Lower Extremity and Humerus Procedures (with CC) cost?

$28,840

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $23,442 to $34,674.

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 $28,840 · 10th to 90th $3,890 to $42,658
$200$1K$5K$20Kfacility $28,840

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
$23,988.33
Median
$32,359.37
Typical High
$42,657.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$28,183.83
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$27,542.29
Typical High
$50,118.72
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$316.23
Typical High
$478.63
United
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$29,512.09
Typical High
$45,708.82

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. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 41st of 51

$28,840

NY $66,069NM $20,417

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.