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Texas rates for MS-DRG 116

Intraocular Procedures With Cc/Mcc

Facilitymedian $23,988 · 10th–90th $11,482–$42,6580%10%10th90th$23,988$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $26,302.68 / $42,657.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $18,620.87 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $27,542.29 / $50,118.72
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $24,547.09 / $42,657.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $22,908.68 / $54,954.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $18,197.01 / $41,686.94