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

New York 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?

$17,378

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $17,378 for this service. Most negotiated rates run $12,303 to $21,380.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $17,378 · 10th to 90th $8,318 to $26,915
$5K$10K$20K$50Kfacility $17,378

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
$5,495.41
Median
$12,589.25
Typical High
$26,302.68
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$20,417.38
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$16,982.44
Typical High
$23,442.29
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$18,620.87
Typical High
$33,884.42
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$14,125.38
Typical High
$21,877.62

Where New York 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.

New York· 4th of 51

$17,378

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.