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Dental and Oral Diseases with Complications

California rates for MS-DRG 158

Dental and Oral Diseases with CC

Rates data updated July 2026.

Facilitymedian $22,909 · 10th–90th $12,303$38,0190%10%10th90th$22,909$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
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$20,892.96
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$22,908.68
Typical High
$38,018.94
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$16,595.87
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$18,620.87
Typical High
$32,359.37
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
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$19,952.62
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$15,848.93
Typical High
$35,481.34