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Diabetes with Major Complications

Texas rates for MS-DRG 637

Diabetes with MCC

Rates data updated October 2026.

How much does Diabetes with Major Complications cost?

$17,783

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $13,183 to $25,704.

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 $17,783 · 10th to 90th $8,710 to $35,481
$10K$20K$50K$100Kfacility $17,783

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
$13,489.63
Median
$25,118.86
Typical High
$33,884.42
Ambetter
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$19,498.45
Typical High
$29,512.09
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$16,595.87
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$22,387.21
Typical High
$44,668.36
Moda Health
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$33,884.42
Typical High
$33,884.42
Providence
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$24,547.09
Typical High
$61,659.50
United
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$17,782.79
Typical High
$39,810.72

Where Texas sits

The same service costs 141.3 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· 37th of 51

$17,783

AK $38,905HI $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.