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Pennsylvania rates for MS-DRG 135

Sinus & mastoid procedures w CC/MCC

Facilitymedian $35,481 · 10th–90th $19,498$51,2860%10%10th90th$35,481$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $35,481.34 / $51,286.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $38,904.51 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $34,673.69 / $48,977.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $46,773.51
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $35,481.34 / $44,668.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $33,884.42 / $51,286.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $20,417.38 / $34,673.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $28,183.83 / $51,286.14