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Orbital Procedures with Complications

Wisconsin rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures with Complications cost?

$42,658

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $33,113 to $52,481.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $42,658 · 10th to 90th $23,988 to $63,096
$500.0$2.0K$10.0K$50.0Kfacility $42,658

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
$35,481.34
Median
$41,686.94
Typical High
$43,651.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$44,668.36
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$37,153.52
Typical High
$66,069.34
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$35,481.34
Typical High
$44,668.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$41,686.94
Typical High
$67,608.30
Quartz
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$26,915.35
Typical High
$34,673.69
Security Health
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$47,863.01
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$43,651.58
Typical High
$54,954.09

Where Wisconsin 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.

Wisconsin $42,658 · 15th 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.