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Orbital Procedures without Complications

Pennsylvania rates for MS-DRG 114

Orbital Procedures without CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures without Complications cost?

$19,953

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $13,490 to $25,119.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,953 · 10th to 90th $11,220 to $28,184
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $19,953

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
$12,302.69
Median
$20,417.38
Typical High
$28,183.83
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$22,387.21
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$21,379.62
Typical High
$33,113.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$28,840.32
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$22,908.68
Typical High
$28,183.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$38,018.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$19,952.62
Typical High
$28,840.32
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$12,302.69
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$17,378.01
Typical High
$31,622.78

Where Pennsylvania 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.

Pennsylvania $19,953 · 28th 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.