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Other Ear, Nose, Mouth and Throat Surgery (with MCC)

California rates for MS-DRG 143

Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC

Rates data updated July 2026.

How much does Other Ear, Nose, Mouth and Throat Surgery (with MCC) cost?

$91,201

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $91,201 for this service. Most negotiated rates run $53,703 to $125,893.

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 $91,201 · 10th to 90th $10,715 to $158,489
$100.0$1.0K$10.0K$100.0Kfacility $91,201

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
$57,543.99
Median
$87,096.36
Typical High
$147,910.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$93,325.43
Typical High
$158,489.32
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$63,095.73
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$85,113.80
Typical High
$134,896.29
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$134,896.29
Median
$134,896.29
Typical High
$134,896.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$85,113.80
Typical High
$151,356.12
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$66,069.34
Typical High
$144,543.98

Where California sits

The same service costs 4.6 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $91,201 · 3rd of 51
NY $97,724MI $21,380

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.