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Mouth Procedures with Complications

California rates for MS-DRG 137

Mouth Procedures with CC/MCC

Rates data updated July 2026.

How much does Mouth Procedures with Complications cost?

$36,308

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $22,387 to $50,119.

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 $36,308 · 10th to 90th $10,715 to $63,096
$200$1K$5K$20Kfacility $36,308

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$34,673.69
Typical High
$63,095.73
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$37,153.52
Typical High
$63,095.73
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$22,387.21
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$29,512.09
Typical High
$53,703.18
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$30,902.95
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$26,302.68
Typical High
$58,884.37

Where California sits

The same service costs 4.1 times more in Montana than in New Mexico. 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.

California· 4th of 51

$36,308

MT $48,978NM $12,023

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.