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California rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

Facilitymedian $22,909 · 10th–90th $11,749–$38,9050%10%10th90th$22,909$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $21,379.62 / $39,810.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $22,908.68 / $38,904.51
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $18,197.01 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $18,620.87 / $33,113.11
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $33,113.11 / $33,113.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $20,892.96 / $37,153.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $16,982.44 / $35,481.34