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Orbital Procedures without Complications

New York rates for MS-DRG 114

Orbital Procedures without CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures without Complications cost?

$35,481

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $23,442 to $44,668.

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 $35,481 · 10th to 90th $15,136 to $52,481
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $35,481

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
$10,964.78
Median
$27,542.29
Typical High
$52,480.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$43,651.58
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$38,018.94
Typical High
$48,977.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$33,113.11
Typical High
$69,183.10
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$28,183.83
Typical High
$46,773.51

Where New York sits

The same service costs 4.5 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $35,481 · 2nd of 51
MT $48,978NM $10,965

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.