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Orbital Procedures with Complications

North Carolina rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures with Complications cost?

$28,840

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $22,387 to $36,308.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $19,055 to $46,774
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $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
$21,379.62
Median
$26,915.35
Typical High
$46,773.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$26,915.35
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$35,481.34
Typical High
$47,863.01
United
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$33,113.11
Typical High
$53,703.18

Where North Carolina sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $28,840 · 36th of 51
NY $61,660NM $19,055

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.