Feds Release New Independent Dispute Resolution Fees

The U.S. Departments of Health and Human Services, Labor, and Treasury announced new Independent Dispute Resolution (IDR) entity fees for 2026. They posted the updates on the No Surprises Act website.

Here’s what changed with the IDR entities:

• Seven raised their fees
  
• Six kept fees the same as 2025
  
• Two lowered their fees

The fee ranges for IDR entities remain the same as set in the 2023 final rule. Each entity can change its fees once a year within those ranges. If an entity wants to make a second change in the same year, it must get written approval from the departments.

The $115 administrative fee for both parties in an IDR dispute also stays the same. Any future changes to fee ranges or the administrative fee will require a public notice and comment period.

For questions about the No Surprises Act, contact Katie Keysor, ACR Senior Director of Economics and Health Policy.