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Other Ear, Nose, Mouth and Throat Diagnoses (without CC/MCC)

California rates for MS-DRG 156

Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC

Rates data updated October 2026.

How much does Other Ear, Nose, Mouth and Throat Diagnoses (without CC/MCC) cost?

$13,183

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $10,000 to $17,783.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,183 · 10th to 90th $7,762 to $23,442
$200$500$1K$2K$5K$10K$20Kfacility $13,183

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$15,135.61
Typical High
$32,359.37
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$13,489.63
Typical High
$19,952.62
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$13,182.57
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$15,848.93
Typical High
$24,547.09
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$17,378.01
Typical High
$27,542.29
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$12,302.69
Typical High
$26,302.68

Where California sits

The same service costs 295.1 times more in Montana than in Hawaii. 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.

California· 13th of 51

$13,183

MT $81,283HI $275

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.