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Other Ear, Nose, Mouth and Throat Surgery (without CC/MCC)

Pennsylvania rates for MS-DRG 145

Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC

Rates data updated July 2026.

Facilitymedian $17,783 · 10th–90th $10,233$25,1190%10%10th90th$17,783$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$18,197.01
Typical High
$25,118.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$23,442.29
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$19,498.45
Typical High
$30,902.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$25,703.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$20,417.38
Typical High
$25,703.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$30,902.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$17,782.79
Typical High
$25,118.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,748.98
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$16,218.10
Typical High
$28,183.83