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Medical Back Problems with Major Complications

New York 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?

$40,738

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $26,915 to $51,286.

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 $40,738 · 10th to 90th $15,488 to $64,565
$5K$10K$20K$50K$100Kfacility $40,738

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
$11,748.98
Median
$31,622.78
Typical High
$63,095.73
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$48,977.88
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$38,018.94
Typical High
$57,543.99
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$44,668.36
Typical High
$83,176.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$19,054.61
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$26,915.35
Typical High
$51,286.14

Where New York 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.

New York· 3rd of 51

$40,738

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.