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California rates for MS-DRG 168

Other Respiratory System O.R. Procedures Without Cc/Mcc

Facilitymedian $33,884 · 10th–90th $10,233–$57,5440%10%20%10th90th$33,884$100.0$500.0$2.0K$10.0K$50.0K

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
$16,218.10 / $31,622.78 / $60,255.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $33,884.42 / $57,543.99
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $21,877.62 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $28,183.83 / $48,977.88
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
$51,286.14 / $51,286.14 / $51,286.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $30,902.95 / $54,954.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $25,118.86 / $53,703.18