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

Colorado 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?

$38,019

Typical facility fee. In Colorado, July 2026.

Insurers have agreed to pay about $38,019 for this service. Most negotiated rates run $28,184 to $46,774.

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 $38,019 · 10th to 90th $20,417 to $58,884
$20K$50K$100Kfacility $38,019

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
$18,197.01
Median
$38,904.51
Typical High
$46,773.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$39,810.72
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$25,118.86
Typical High
$51,286.14
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$24,547.09
Typical High
$32,359.37
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$28,183.83
Typical High
$42,657.95

Where Colorado 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.

Colorado· 5th of 51

$38,019

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.