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Level 1 Musculoskeletal Procedures

New York rates for APC 5111

Level 1 Musculoskeletal Procedures

Rates data updated October 2026.

How much does Level 1 Musculoskeletal Procedures cost?

$631

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $631 for this service. Most negotiated rates run $389 to $891.

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 $631 · 10th to 90th $186 to $1,202
$100$200$500$1Kfacility $631

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
$165.96
Median
$398.11
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$288.40
Typical High
$288.40
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$776.25
Typical High
$1,202.26
Univera
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$776.25
Typical High
$1,202.26

Where New York sits

The same service costs 5.2 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· 12th of 40

$631

ME $1,096SD $209

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.