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Headaches without Major Complications

New York rates for MS-DRG 103

Headaches without MCC

Rates data updated October 2026.

How much does Headaches without Major Complications cost?

$20,417

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $20,417 for this service. Most negotiated rates run $14,791 to $26,303.

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 $20,417 · 10th to 90th $10,000 to $32,359
$5K$10K$20K$50Kfacility $20,417

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
$6,760.83
Median
$15,135.61
Typical High
$31,622.78
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$25,118.86
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$19,054.61
Typical High
$28,840.32
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$21,877.62
Typical High
$41,686.94
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$16,218.10
Typical High
$26,302.68

Where New York 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.

New York· 4th of 51

$20,417

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.