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Diabetes with Complications

New York rates for MS-DRG 638

Diabetes with CC

Rates data updated July 2026.

How much does Diabetes with Complications cost?

$19,953

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $14,791 to $28,184.

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 $19,953 · 10th to 90th $9,772 to $34,674
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $19,953

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
$8,128.31
Median
$16,595.87
Typical High
$29,512.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$29,512.09
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$21,379.62
Typical High
$30,902.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$21,877.62
Typical High
$45,708.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$16,595.87
Typical High
$28,183.83

Where New York 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.

New York $19,953 · 11th 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.