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Dental and Oral Diseases without Complications

Pennsylvania rates for MS-DRG 159

Dental and Oral Diseases without CC/MCC

Rates data updated July 2026.

Facilitymedian $10,471 · 10th–90th $6,026$14,7910%10%10th90th$10,471$2.0K$5.0K$10.0K$20.0K

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
$6,456.54
Median
$10,715.19
Typical High
$14,791.08
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$12,882.50
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$11,481.54
Typical High
$18,197.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$12,589.25
Typical High
$15,135.61
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$12,302.69
Typical High
$15,488.17
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$12,302.69
Typical High
$18,620.87
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$10,471.29
Typical High
$14,791.08
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$6,760.83
Typical High
$10,964.78
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$9,120.11
Typical High
$16,595.87