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Sinus and Mastoid Procedures without Complications

Pennsylvania rates for MS-DRG 136

Sinus and Mastoid Procedures without CC/MCC

Rates data updated July 2026.

How much does Sinus and Mastoid Procedures without Complications cost?

$15,488

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $10,965 to $19,498.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $8,710 to $23,442
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $15,488

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
$9,332.54
Median
$15,848.93
Typical High
$23,988.33
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$22,387.21
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$16,218.10
Typical High
$25,703.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$21,877.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$17,782.79
Typical High
$21,877.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$15,488.17
Typical High
$23,442.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$10,000.00
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$13,182.57
Typical High
$23,988.33

Where Pennsylvania sits

The same service costs 6.0 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $15,488 · 28th of 51
MT $48,978NM $8,128

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.