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Dental and Oral Diseases with Complications

New York rates for MS-DRG 158

Dental and Oral Diseases with CC

Rates data updated July 2026.

Facilitymedian $20,893 · 10th–90th $9,550$35,4810%5%10%10th90th$20,893$2.0K$5.0K$10.0K$20.0K$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
$8,511.38
Median
$16,982.44
Typical High
$30,199.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$30,199.52
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$25,118.86
Typical High
$33,113.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$22,387.21
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$16,595.87
Typical High
$28,840.32