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California rates for MS-DRG 166

Other resp system O.R. procedures w MCC

Facilitymedian $91,201 · 10th–90th $10,233–$158,4890%20%10th90th$91,201$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $87,096.36 / $162,181.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $93,325.43 / $158,489.32
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $60,255.96 / $128,824.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $75,857.76 / $134,896.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134,896.29 / $134,896.29 / $134,896.29
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $85,113.80 / $154,881.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $69,183.10 / $144,543.98