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Medical Back Problems with Major Complications

California rates for MS-DRG 551

Medical Back Problems with MCC

Rates data updated October 2026.

How much does Medical Back Problems with Major Complications cost?

$30,200

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $30,200 for this service. Most negotiated rates run $23,988 to $43,652.

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 $30,200 · 10th to 90th $8,710 to $60,256
$200$1K$5K$20Kfacility $30,200

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
$19,498.45
Median
$36,307.81
Typical High
$79,432.82
Ambetter
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$31,622.78
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$28,183.83
Typical High
$60,255.96
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$28,840.32
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$37,153.52
Typical High
$60,255.96
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$39,810.72
Typical High
$70,794.58
United
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$29,512.09
Typical High
$63,095.73

Where California sits

The same service costs 166.0 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

$30,200

AK $45,709HI $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.