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Other Disorders of the Eye without Major Complications

Washington rates for MS-DRG 125

Other Disorders of the Eye without MCC

Rates data updated July 2026.

How much does Other Disorders of the Eye without Major Complications cost?

$17,783

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $13,804 to $20,893.

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 $17,783 · 10th to 90th $10,965 to $25,704
$5K$10K$20Kfacility $17,783

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
$12,882.50
Median
$19,498.45
Typical High
$31,622.78
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$16,218.10
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$16,595.87
Typical High
$25,118.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$14,125.38
Typical High
$15,848.93
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$15,488.17
Typical High
$23,988.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$16,595.87
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$15,135.61
Typical High
$22,387.21

Where Washington sits

The same service costs 7.9 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.

Washington· 11th of 51

$17,783

MT $48,978NM $6,166

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.