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California rates for MS-DRG 551

Medical Back Problems With Mcc

Facilitymedian $40,738 · 10th–90th $15,488–$70,7950%10%20%10th90th$40,738$100.0$500.0$2.0K$10.0K$50.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $34,673.69 / $70,794.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $41,686.94 / $70,794.58
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $26,915.35 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $33,884.42 / $60,255.96
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $60,255.96 / $60,255.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $37,153.52 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $30,902.95 / $66,069.34