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Orbital Procedures with Complications

New York rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures with Complications cost?

$61,660

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $61,660 for this service. Most negotiated rates run $40,738 to $77,625.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $61,660 · 10th to 90th $24,547 to $91,201
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $61,660

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
$19,054.61
Median
$47,863.01
Typical High
$91,201.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$66,069.34
Typical High
$85,113.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$57,543.99
Typical High
$120,226.44
United
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$48,977.88
Typical High
$81,283.05

Where New York 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 York $61,660 · 1st 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.