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California rates for MS-DRG 136

Sinus & mastoid procedures w/o CC/MCC

Facilitymedian $25,119 · 10th–90th $10,233$42,6580%10%10th90th$25,119$100.0$500.0$2.0K$10.0K$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
$12,022.64 / $23,442.29 / $44,668.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $25,118.86 / $42,657.95
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $16,218.10 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $20,892.96 / $36,307.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $51,286.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $22,908.68 / $42,657.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $18,620.87 / $39,810.72