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Sinus and Mastoid Procedures with Complications

Pennsylvania 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?

$31,623

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $21,380 to $40,738.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $31,623 · 10th to 90th $17,783 to $45,709
$10K$20K$50Kfacility $31,623

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
$19,952.62
Median
$33,113.11
Typical High
$45,708.82
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$39,810.72
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$34,673.69
Typical High
$48,977.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$46,773.51
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$35,481.34
Typical High
$44,668.36
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$32,359.37
Typical High
$47,863.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$19,952.62
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$28,183.83
Typical High
$51,286.14

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$31,623

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.