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Orbital Procedures with Complications

New Jersey rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures with Complications cost?

$51,286

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $38,019 to $63,096.

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 $51,286 · 10th to 90th $25,119 to $75,858
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $51,286

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
$33,113.11
Median
$56,234.13
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$57,543.99
Typical High
$75,857.76
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$43,651.58
Typical High
$67,608.30
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$20,892.96
Typical High
$64,565.42

Where New Jersey 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.

New Jersey $51,286 · 10th 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.