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Other Disorders of the Eye (with MCC or Thrombolytic)

Massachusetts rates for MS-DRG 124

Other Disorders of the Eye with MCC or Thrombolytic Agent

Rates data updated July 2026.

How much does Other Disorders of the Eye (with MCC or Thrombolytic) cost?

$20,417

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $12,303 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,417 · 10th to 90th $9,772 to $34,674
$200.0$1.0K$5.0K$20.0Kfacility $20,417

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
$12,302.69
Median
$21,877.62
Typical High
$34,673.69
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$19,054.61
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,498.45
Typical High
$29,512.09
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$186.21
Typical High
$28,840.32
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$18,620.87
Typical High
$50,118.72
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$19,054.61
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$15,488.17
Typical High
$39,810.72

Where Massachusetts sits

The same service costs 4.6 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $20,417 · 27th of 51
MT $48,978NM $10,715

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.