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California rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Facilitymedian $21,380 · 10th–90th $10,233–$37,1540%10%20%10th90th$21,380$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
$10,471.29 / $20,417.38 / $38,904.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $21,877.62 / $37,153.52
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $13,489.63 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $18,197.01 / $31,622.78
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
$12,302.69 / $19,952.62 / $35,481.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $16,218.10 / $34,673.69