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

Pennsylvania 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?

$56,234

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $38,019 to $67,608.

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 $56,234 · 10th to 90th $30,903 to $79,433
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $56,234

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
$34,673.69
Median
$56,234.13
Typical High
$79,432.82
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$54,954.09
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$56,234.13
Typical High
$79,432.82
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$79,432.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$61,659.50
Typical High
$75,857.76
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$60,255.96
Typical High
$70,794.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$56,234.13
Typical High
$79,432.82
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$36,307.81
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$50,118.72
Typical High
$87,096.36

Where Pennsylvania 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.

Pennsylvania $56,234 · 26th 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.