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Mouth Procedures with Complications

North Carolina rates for MS-DRG 137

Mouth Procedures with CC/MCC

Rates data updated July 2026.

How much does Mouth Procedures with Complications cost?

$18,621

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $18,621 for this service. Most negotiated rates run $14,454 to $23,442.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,621 · 10th to 90th $12,589 to $29,512
$5K$10K$20Kfacility $18,621

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
$13,489.63
Median
$16,982.44
Typical High
$29,512.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$16,982.44
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$22,908.68
Typical High
$30,199.52
United
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$20,892.96
Typical High
$34,673.69

Where North Carolina 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.

North Carolina· 37th of 51

$18,621

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.