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Otitis Media and URI with Major Complications

North Carolina rates for MS-DRG 152

Otitis Media and Upper Respiratory Infection with MCC

Rates data updated October 2026.

How much does Otitis Media and URI with Major Complications cost?

$16,218

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $16,218 for this service. Most negotiated rates run $12,303 to $21,878.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,218 · 10th to 90th $10,000 to $23,988
$2K$5K$10K$20Kfacility $16,218

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$12,589.25
Typical High
$23,442.29
Ambetter
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$14,454.40
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$17,378.01
Typical High
$23,988.33
Medcost
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$11,220.18
Typical High
$13,489.63
United
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$19,054.61
Typical High
$24,547.09

Where North Carolina sits

The same service costs 117.5 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 31st of 51

$16,218

AK $32,359HI $275

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.