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Level 1 Type B ED Visits

New York rates for APC 5031

Level 1 Type B ED Visits

Rates data updated October 2026.

How much does Level 1 Type B ED Visits cost?

$224

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $135 to $316.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $224 · 10th to 90th $65 to $427
$50$100$200$500facility $224

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$141.25
Typical High
$295.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$275.42
Typical High
$426.58
Univera
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$275.42
Typical High
$426.58

Where New York sits

The same service costs 6.2 times more in Maine than in South Dakota. 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.

New York· 9th of 42

$224

ME $389SD $63.10

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.