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Medical Back Problems without Major Complications

California rates for MS-DRG 552

Medical Back Problems without MCC

Rates data updated July 2026.

How much does Medical Back Problems without Major Complications cost?

$23,442

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $16,596 to $32,359.

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 $23,442 · 10th to 90th $9,333 to $40,738
$200$1K$5K$20Kfacility $23,442

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$20,892.96
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$40,738.03
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$15,488.17
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$19,498.45
Typical High
$34,673.69
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$34,673.69
Providence
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$21,379.62
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$16,982.44
Typical High
$37,153.52

Where California sits

The same service costs 3.0 times more in Montana than in New Mexico. 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· 2nd of 51

$23,442

MT $23,442NM $7,762

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.