go back

Extraocular Procedures Except Orbit

California rates for MS-DRG 115

Extraocular Procedures Except Orbit

Rates data updated July 2026.

How much does Extraocular Procedures Except Orbit cost?

$38,019

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $22,909 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 $38,019 · 10th to 90th $10,715 to $64,565
$200$1K$5K$20Kfacility $38,019

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
$23,988.33
Median
$35,481.34
Typical High
$66,069.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$38,018.94
Typical High
$64,565.42
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$23,988.33
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$31,622.78
Typical High
$54,954.09
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$34,673.69
Typical High
$61,659.50
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$26,915.35
Typical High
$60,255.96

Where California sits

The same service costs 4.0 times more in Montana than in New Mexico. 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.

California· 3rd of 51

$38,019

MT $48,978NM $12,303

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.