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Dental and Oral Diseases with Complications

Utah rates for MS-DRG 158

Dental and Oral Diseases with CC

Rates data updated July 2026.

Facilitymedian $15,136 · 10th–90th $10,471$20,4170%10%20%10th90th$15,136$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$12,022.64
Median
$15,848.93
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$19,054.61
Typical High
$26,915.35
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$15,135.61
Typical High
$18,620.87
Select Health
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$9,332.54
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$11,748.98
Typical High
$15,135.61