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California rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Facilitymedian $32,359 · 10th–90th $10,233$57,5440%10%20%10th90th$32,359$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $31,622.78 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $33,884.42 / $57,543.99
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $19,054.61 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $26,302.68 / $47,863.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $51,286.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $27,542.29 / $54,954.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $24,547.09 / $52,480.75