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Medical Back Problems without Major Complications

New York 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?

$21,380

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $15,488 to $30,200.

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 $21,380 · 10th to 90th $10,000 to $37,154
$10K$20K$50Kfacility $21,380

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
$9,332.54
Median
$18,620.87
Typical High
$31,622.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$31,622.78
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$22,908.68
Typical High
$33,113.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$23,988.33
Typical High
$48,977.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$9,120.11
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$17,378.01
Typical High
$30,199.52

Where New York 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.

New York· 7th of 51

$21,380

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.