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Medical Back Problems without Major Complications

Texas rates for MS-DRG 552

Medical Back Problems without MCC

Rates data updated October 2026.

How much does Medical Back Problems without Major Complications cost?

$11,749

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $11,749 for this service. Most negotiated rates run $8,913 to $16,982.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,749 · 10th to 90th $5,888 to $22,909
$5K$10K$20Kfacility $11,749

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
$9,120.11
Median
$16,982.44
Typical High
$22,387.21
Ambetter
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$15,488.17
Typical High
$22,387.21
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$10,471.29
Typical High
$16,982.44
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$15,135.61
Typical High
$30,199.52
Moda Health
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$18,197.01
Typical High
$22,908.68
Providence
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$16,595.87
Typical High
$32,359.37
United
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$12,882.50
Typical High
$26,302.68

Where Texas sits

The same service costs 95.5 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.

Texas· 39th of 51

$11,749

AK $26,303HI $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.