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Extraocular Procedures Except Orbit

Pennsylvania rates for MS-DRG 115

Extraocular Procedures Except Orbit

Rates data updated July 2026.

How much does Extraocular Procedures Except Orbit cost?

$22,387

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $15,136 to $28,184.

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 $22,387 · 10th to 90th $12,589 to $32,359
$5K$10K$20Kfacility $22,387

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
$14,125.38
Median
$23,442.29
Typical High
$32,359.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$26,302.68
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$24,547.09
Typical High
$38,904.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$33,113.11
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$25,703.96
Typical High
$32,359.37
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$30,902.95
Typical High
$41,686.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,908.68
Typical High
$32,359.37
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$14,454.40
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$19,498.45
Typical High
$36,307.81

Where Pennsylvania 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.

Pennsylvania· 28th of 51

$22,387

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.