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Headaches without Major Complications

California rates for MS-DRG 103

Headaches without MCC

Rates data updated October 2026.

How much does Headaches without Major Complications cost?

$15,136

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $11,749 to $22,387.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,136 · 10th to 90th $7,079 to $29,512
$200$500$1K$2K$5K$10K$20Kfacility $15,136

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
$12,302.69
Median
$18,620.87
Typical High
$38,904.51
Ambetter
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$10,471.29
Typical High
$22,387.21
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$13,803.84
Typical High
$30,199.52
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$14,454.40
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$18,620.87
Typical High
$30,199.52
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$19,952.62
Typical High
$35,481.34
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$14,791.08
Typical High
$32,359.37

Where California sits

The same service costs 83.2 times more in Alaska 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.

California· 14th of 51

$15,136

AK $22,909HI $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.