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Diabetes with Major Complications

Texas rates for MS-DRG 637

Diabetes with MCC

Rates data updated July 2026.

How much does Diabetes with Major Complications cost?

$17,783

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $12,882 to $23,442.

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 $17,783 · 10th to 90th $8,511 to $33,884
$10K$20K$50Kfacility $17,783

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
$13,803.84
Median
$20,892.96
Typical High
$33,884.42
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$14,454.40
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$21,379.62
Typical High
$38,904.51
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$51,286.14
Typical High
$51,286.14
Providence
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$18,197.01
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$14,791.08
Typical High
$35,481.34

Where Texas sits

The same service costs 6.3 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.

Texas· 34th of 51

$17,783

MT $72,444NM $11,482

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.