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Diabetes with Complications

Massachusetts rates for MS-DRG 638

Diabetes with CC

Rates data updated July 2026.

How much does Diabetes with Complications cost?

$13,804

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $13,804 for this service. Most negotiated rates run $8,318 to $19,055.

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 $13,804 · 10th to 90th $7,244 to $23,442
$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0Kfacility $13,804

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
$14,791.08
Typical High
$23,442.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,882.50
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$19,952.62
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$19,498.45
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,589.25
Typical High
$33,884.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,882.50
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,715.19
Typical High
$26,915.35

Where Massachusetts sits

The same service costs 6.8 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $13,804 · 28th of 51
MT $48,978NM $7,244

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.