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

Wisconsin 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?

$11,749

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $11,749 for this service. Most negotiated rates run $10,000 to $14,454.

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 $11,749 · 10th to 90th $6,918 to $17,378
$200$500$1K$2K$5K$10K$20Kfacility $11,749

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
$10,471.29
Median
$10,471.29
Typical High
$12,302.69
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$12,302.69
Typical High
$17,782.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$12,022.64
Typical High
$17,782.79
DeanCare
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$10,471.29
Typical High
$13,182.57
Medica
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$12,589.25
Typical High
$16,982.44
Quartz
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$7,943.28
Typical High
$13,803.84
Security Health
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$12,589.25
Typical High
$14,791.08
United
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$13,182.57
Typical High
$16,218.10

Where Wisconsin 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.

Wisconsin· 18th of 51

$11,749

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.