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Medical Back Problems with Major Complications

Washington 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?

$36,308

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $29,512 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 $36,308 · 10th to 90th $22,909 to $53,703
$10K$20K$50Kfacility $36,308

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
$22,387.21
Median
$38,018.94
Typical High
$66,069.34
Ambetter
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$35,481.34
Typical High
$35,481.34
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$35,481.34
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$33,113.11
Typical High
$53,703.18
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$28,183.83
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$34,673.69
Typical High
$50,118.72
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$34,673.69
Typical High
$50,118.72
United
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$39,810.72
Typical High
$52,480.75

Where Washington 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.

Washington· 8th of 51

$36,308

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.