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Orbital Procedures with Complications

Virginia rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated October 2026.

How much does Orbital Procedures with Complications cost?

$38,019

Typical facility fee. In Virginia, October 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $27,542 to $46,774.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,019 · 10th to 90th $19,953 to $56,234
$5K$10K$20K$50Kfacility $38,019

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$44,668.36
Typical High
$48,977.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$41,686.94
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$35,481.34
Typical High
$57,543.99
Medcost
Setting
Facility
Modifier
None
Typical Low
$44,668.36
Median
$44,668.36
Typical High
$44,668.36
Sentara
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$33,113.11
Typical High
$48,977.88
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$40,738.03
Typical High
$64,565.42

Where Virginia sits

The same service costs 234.4 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Virginia· 19th of 51

$38,019

AK $64,565HI $275

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.