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

New York 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?

$97,724

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $97,724 for this service. Most negotiated rates run $64,565 to $123,027.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $97,724 · 10th to 90th $38,905 to $144,544
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $97,724

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
$30,199.52
Median
$77,624.71
Typical High
$144,543.98
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$123,026.88
Typical High
$154,881.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$104,712.85
Typical High
$134,896.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$93,325.43
Typical High
$190,546.07
United
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$77,624.71
Typical High
$128,824.96

Where New York 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.

New York $97,724 · 1st 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.