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

Texas rates for MS-DRG 155

Other Ear, Nose, Mouth and Throat Diagnoses with CC

Rates data updated July 2026.

How much does Other Ear, Nose, Mouth and Throat Diagnoses (with CC) cost?

$11,749

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $11,749 for this service. Most negotiated rates run $8,318 to $15,488.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,749 · 10th to 90th $5,495 to $21,380
$5K$10K$20Kfacility $11,749

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
$8,709.64
Median
$13,182.57
Typical High
$21,379.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$9,332.54
Typical High
$16,218.10
Christus
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,803.84
Typical High
$25,703.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,022.64
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,000.00
Typical High
$23,442.29

Where Texas sits

The same service costs 6.6 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

$11,749

MT $48,978NM $7,413

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.