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Diabetes with Major Complications

Illinois rates for MS-DRG 637

Diabetes with MCC

Rates data updated October 2026.

How much does Diabetes with Major Complications cost?

$16,596

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $16,596 for this service. Most negotiated rates run $13,183 to $20,417.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,596 · 10th to 90th $302 to $25,704
$200$500$1K$2K$5K$10K$20Kfacility $16,596

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$17,782.79
Typical High
$25,118.86
Ambetter
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$16,595.87
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$15,848.93
Typical High
$25,118.86
Hally Health
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$181.97
Typical High
$288.40
United
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$19,498.45
Typical High
$28,840.32

Where Illinois sits

The same service costs 141.3 times more in Alaska than in Hawaii. 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· 42nd of 51

$16,596

AK $38,905HI $275

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.