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California rates for MS-DRG 042

Periph/cranial nerve & other nerv syst proc w/o CC/MCC

Facilitymedian $52,481 · 10th–90th $16,982$75,8580%20%10th90th$52,481$100.0$500.0$2.0K$10.0K$50.0K

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
$22,908.68 / $47,863.01 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $58,884.37 / $75,857.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,248.07 / $28,183.83 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $39,810.72 / $77,624.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $61,659.50 / $61,659.50
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $45,708.82 / $81,283.05
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $34,673.69 / $75,857.76