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

Virginia 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?

$23,988

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $19,055 to $29,512.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $15,488 to $34,674
$10K$20K$50Kfacility $23,988

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
$26,915.35
Typical High
$31,622.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$29,512.09
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$24,547.09
Typical High
$37,153.52
Sentara
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$21,877.62
Typical High
$42,657.95

Where Virginia 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.

Virginia· 26th of 51

$23,988

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.