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

Texas 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?

$19,498

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,125 to $25,704.

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 $19,498 · 10th to 90th $9,333 to $36,308
$10K$20K$50Kfacility $19,498

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
$15,135.61
Median
$22,387.21
Typical High
$37,153.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$15,848.93
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$23,442.29
Typical High
$42,657.95
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
$14,125.38
Median
$20,417.38
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$16,218.10
Typical High
$38,904.51

Where Texas 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.

Texas· 35th of 51

$19,498

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.