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California rates for MS-DRG 113

Orbital Procedures With Cc/Mcc

Facilitymedian $57,544 · 10th–90th $10,233–$100,0000%20%10th90th$57,544$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
$27,542.29 / $54,954.09 / $102,329.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $58,884.37 / $100,000.00
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $35,481.34 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $46,773.51 / $83,176.38
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
$85,113.80 / $85,113.80 / $85,113.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $48,977.88 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $42,657.95 / $91,201.08