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Level 1 Breast/Lymphatic Surgery and Related Procedures

New York rates for APC 5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

Rates data updated October 2026.

How much does Level 1 Breast/Lymphatic Surgery and Related Procedures cost?

$10,233

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $10,233 for this service. Most negotiated rates run $6,166 to $14,125.

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 $10,233 · 10th to 90th $2,951 to $19,055
$2K$5K$10K$20Kfacility $10,233

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
$2,630.27
Median
$6,456.54
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$12,589.25
Typical High
$19,498.45
Univera
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$12,589.25
Typical High
$19,498.45

Where New York sits

The same service costs 63.1 times more in Maine than in Hawaii. 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· 11th of 41

$10,233

ME $17,783HI $282

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.