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

Indiana 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?

$27,542

Typical facility fee. In Indiana, July 2026.

Insurers have agreed to pay about $27,542 for this service. Most negotiated rates run $22,909 to $33,113.

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 $27,542 · 10th to 90th $16,596 to $38,905
$10K$20K$50Kfacility $27,542

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
$21,877.62
Median
$29,512.09
Typical High
$39,810.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$27,542.29
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$23,442.29
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$22,387.21
Typical High
$30,902.95

Where Indiana 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.

Indiana· 14th of 51

$27,542

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.