Texas SB 1264 Arbitrator Fee Table

Every published arbitrator fee on TDI’s roster, compiled and sorted — plus the strike arithmetic worth 22.5% of your fee line.

Texas SB 1264 sends out-of-network balance-billing disputes on state-regulated Texas plans to mediation or arbitration through the Texas Department of Insurance. The arbitrator's fee is split half/half between the parties per case, and each arbitrator publishes a fixed fee on TDI's public roster: $450 minimum, $1,000 median, $2,500 maximum across 174 arbitrators (TDI roster, fetched 2026-08-30; TDI Balance Billing Biennial Report, Nov 2024). This free page compiles every published fee into one sorted table.

How Arbitrator Selection Works Under SB 1264

Selection is party-strike, not regulator-pick: if the parties don't jointly agree on an arbitrator, TDI's portal offers five names, each side may strike up to two, and on day 31 TDI assigns by rotation from the survivors (Tex. Ins. Code §1467.086; 28 TAC §21.5021; TDI IDR process FAQ). Joint agreement is vanishingly rare — 7 of 326,803 requests in 2024 (TDI biennial report, Nov 2024).

The Fee Arithmetic: a 22.5% Cut in Your Arbitrator-Fee Line

Modeled over this roster's 174 published fees (Monte Carlo, 200k draws, run 2026-08-29; assignment treated as uniform over unstruck survivors): with no strikes your side's expected half-fee is $616. Always striking the two highest-fee names on your five-name list drops it to $477 — $139 saved per decided dispute, a 22.5% cut. This is arithmetic on the published fee schedule, not a prediction about any individual assignment. Note that most Texas requests settle in the informal 30-day teleconference window before any arbitrator is assigned (2025: 406,846 requests, 292,910 teleconference settlements, 63,173 decisions — data.texas.gov dataset bn27-65ad), and the other side can strike the same expensive names — in which case you get the same cheap survivor set at no effort.

The 20 Lowest Published Fees (of 174 — full table on this page)

Fees as published on TDI's roster, fetched 2026-08-30. "Your half if assigned" is the published fee divided by two per the statutory half/half split — a fact about the fee schedule only.

Where This Data Comes From — and Why It's Free

Every number comes from TDI's own free, public roster page (tdi.texas.gov/medical-billing/mediator-arbitrator-list.html) and TDI's published reports. There is no secret data here: the value is the compilation and the fee-exposure arithmetic. The table is regenerated manually from a dated fetch — always verify the current fee on TDI's live page before you actually strike.

What This Table Will Never Tell You

No per-arbitrator decision or award data is public for this venue, and none is claimed or implied here. Unlike the federal No Surprises Act IDR process, TDI publishes nothing connecting an arbitrator's name to any decision — there is no public basis for saying one Texas arbitrator decides differently than another. The fee is the only quantifiable, publicly-sourced strike signal, so the fee is all this table contains.

Free Tools That Pick Up Where This Table Stops

Medigami's free Denial Decoder translates the CARC/RARC codes on any EOB or denial into plain English, and the free provider price check benchmarks a CPT code against real negotiated-rate data. If you were balance-billed as a patient, Bill Rescue ($149) audits your itemized bill and drafts the dispute or appeal documents in 48 hours — you review, sign, and submit them yourself.

Educational information about a public fee schedule — not legal advice, and no particular arbitration result is promised. Medigami is not affiliated with the Texas Department of Insurance. Verify current fees and deadlines on TDI's own pages before acting.

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