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Intraocular Procedures with Complications

California rates for MS-DRG 116

Intraocular Procedures with CC/MCC

Rates data updated July 2026.

How much does Intraocular Procedures with Complications cost?

$43,652

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $43,652 for this service. Most negotiated rates run $26,915 to $61,660.

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 $43,652 · 10th to 90th $10,715 to $75,858
$200$1K$5K$20K$100Kfacility $43,652

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
$28,183.83
Median
$41,686.94
Typical High
$77,624.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$44,668.36
Typical High
$75,857.76
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$26,302.68
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$37,153.52
Typical High
$64,565.42
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
$64,565.42
Median
$64,565.42
Typical High
$64,565.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$41,686.94
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$31,622.78
Typical High
$70,794.58

Where California sits

The same service costs 3.4 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· 6th of 51

$43,652

MT $48,978NM $14,454

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.