go back

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

California rates for MS-DRG 154

Other Ear, Nose, Mouth and Throat Diagnoses with MCC

Rates data updated July 2026.

How much does Other Ear, Nose, Mouth and Throat Diagnoses (with MCC) cost?

$38,905

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $29,512 to $56,234.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $20,893 to $66,069
$200$1K$5K$20Kfacility $38,905

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
$24,547.09
Median
$36,307.81
Typical High
$66,069.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$38,904.51
Typical High
$66,069.34
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$28,183.83
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$31,622.78
Typical High
$56,234.13
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$33,113.11
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$27,542.29
Typical High
$61,659.50

Where California sits

The same service costs 5.8 times more in Montana than in New Mexico. 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.

California· 3rd of 51

$38,905

MT $72,444NM $12,589

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.