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Sinus and Mastoid Procedures with Complications

New York rates for MS-DRG 135

Sinus and Mastoid Procedures with CC/MCC

Rates data updated July 2026.

How much does Sinus and Mastoid Procedures with Complications cost?

$56,234

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $37,154 to $70,795.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56,234 · 10th to 90th $24,547 to $85,114
$10K$20K$50K$100Kfacility $56,234

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
$17,782.79
Median
$44,668.36
Typical High
$85,113.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$70,794.58
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$60,255.96
Typical High
$77,624.71
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$53,703.18
Typical High
$112,201.85
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$45,708.82
Typical High
$74,131.02

Where New York sits

The same service costs 3.5 times more in Alaska 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.

New York· 2nd of 51

$56,234

AK $58,884NM $16,982

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.