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

West Virginia 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?

$9,120

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $9,120 for this service. Most negotiated rates run $8,710 to $12,589.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $9,120 · 10th to 90th $8,511 to $16,218
$2K$5K$10K$20Kfacility $9,120

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,589.25
Typical High
$17,378.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,982.44
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$8,912.51
Typical High
$12,589.25

Where West Virginia 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.

West Virginia· 45th of 51

$9,120

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.