go back

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

North Carolina 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?

$10,000

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $7,413 to $13,183.

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 $10,000 · 10th to 90th $6,310 to $14,454
$2K$5K$10K$20Kfacility $10,000

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
$6,309.57
Median
$7,943.28
Typical High
$13,489.63
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$10,471.29
Typical High
$14,125.38
Medcost
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$6,606.93
Typical High
$8,128.31
United
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$11,481.54
Typical High
$14,791.08

Where North Carolina sits

The same service costs 74.1 times more in Michigan 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.

North Carolina· 31st of 51

$10,000

MI $20,417HI $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.