go back

Sinus and Mastoid Procedures without Complications

Pennsylvania rates for MS-DRG 136

Sinus and Mastoid Procedures without CC/MCC

Rates data updated October 2026.

How much does Sinus and Mastoid Procedures without Complications cost?

$15,488

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $10,233 to $20,417.

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 $15,488 · 10th to 90th $8,318 to $24,547
$2K$5K$10K$20Kfacility $15,488

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$16,982.44
Typical High
$24,547.09
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$21,379.62
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$16,595.87
Typical High
$25,703.96
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$21,877.62
Geisinger
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$14,791.08
Typical High
$22,908.68
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$17,378.01
Typical High
$25,118.86
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$15,135.61
Typical High
$22,387.21

Where Pennsylvania sits

The same service costs 100.0 times more in Alaska than in Hawaii. 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· 27th of 51

$15,488

AK $27,542HI $275

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.