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

New Jersey 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?

$33,884

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $33,884 for this service. Most negotiated rates run $24,547 to $41,687.

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 $33,884 · 10th to 90th $19,055 to $50,119
$10K$20K$50K$100Kfacility $33,884

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
$23,988.33
Median
$37,153.52
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$38,018.94
Typical High
$50,118.72
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$27,542.29
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$15,488.17
Typical High
$43,651.58

Where New Jersey 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.

New Jersey· 10th of 51

$33,884

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.