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

West Virginia 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?

$35,481

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $30,903 to $45,709.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35,481 · 10th to 90th $30,903 to $64,565
$50.0K$100.0K$200.0Kfacility $35,481

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$51,286.14
Typical High
$70,794.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$251,188.64
Median
$251,188.64
Typical High
$251,188.64
United
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$31,622.78
Typical High
$52,480.75

Where West Virginia 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.

West Virginia $35,481 · 44th 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.