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Dental and Oral Diseases without Complications

Texas rates for MS-DRG 159

Dental and Oral Diseases without CC/MCC

Rates data updated October 2026.

How much does Dental and Oral Diseases without Complications cost?

$8,511

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $8,511 for this service. Most negotiated rates run $6,457 to $12,589.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $8,511 · 10th to 90th $4,266 to $17,378
$5K$10K$20K$50Kfacility $8,511

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$12,302.69
Typical High
$16,595.87
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$7,762.47
Typical High
$13,803.84
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$10,964.78
Typical High
$22,387.21
Moda Health
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$16,595.87
Typical High
$16,595.87
Providence
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$12,302.69
Typical High
$30,902.95
United
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$8,709.64
Typical High
$19,498.45

Where Texas sits

The same service costs 74.1 times more in Michigan than in Hawaii. 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.

Texas· 40th of 51

$8,511

MI $20,417HI $275

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.