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Intraocular Procedures without Complications

California rates for MS-DRG 117

Intraocular Procedures without CC/MCC

Rates data updated July 2026.

How much does Intraocular Procedures without Complications cost?

$26,915

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $16,218 to $37,154.

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 $26,915 · 10th to 90th $10,715 to $45,709
$200$1K$5K$20Kfacility $26,915

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
$16,982.44
Median
$25,118.86
Typical High
$45,708.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$26,915.35
Typical High
$45,708.82
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$17,378.01
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$22,387.21
Typical High
$38,904.51
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
$51,286.14
Median
$51,286.14
Typical High
$51,286.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$24,547.09
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$19,054.61
Typical High
$42,657.95

Where California sits

The same service costs 5.6 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

$26,915

MT $48,978NM $8,710

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.