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Dental and Oral Diseases with Major Complications

North Carolina rates for MS-DRG 157

Dental and Oral Diseases with MCC

Rates data updated July 2026.

How much does Dental and Oral Diseases with Major Complications cost?

$20,893

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $16,218 to $26,303.

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 $20,893 · 10th to 90th $14,125 to $33,884
$2K$5K$10K$20Kfacility $20,893

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
$15,488.17
Median
$19,498.45
Typical High
$33,884.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$19,498.45
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$25,703.96
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$23,442.29
Typical High
$37,153.52

Where North Carolina sits

The same service costs 5.2 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· 36th of 51

$20,893

MT $72,444NM $13,804

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.