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Medical Back Problems with Major Complications

Illinois rates for MS-DRG 551

Medical Back Problems with MCC

Rates data updated July 2026.

How much does Medical Back Problems with Major Complications cost?

$19,498

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $15,849 to $22,909.

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 $19,498 · 10th to 90th $380 to $28,184
$100.0$500.0$2.0K$10.0K$50.0Kfacility $19,498

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
$16,595.87
Median
$21,379.62
Typical High
$28,183.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$19,054.61
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$18,620.87
Typical High
$33,113.11
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$20,417.38
Typical High
$30,199.52

Where Illinois sits

The same service costs 3.1 times more in Colorado than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $19,498 · 38th of 51
CO $41,687NM $13,490

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.