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Level 4 Musculoskeletal Procedures

New York rates for APC 5114

Level 4 Musculoskeletal Procedures

Rates data updated October 2026.

How much does Level 4 Musculoskeletal Procedures cost?

$19,055

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $11,482 to $26,303.

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 $19,055 · 10th to 90th $5,495 to $36,308
$5K$10K$20K$50Kfacility $19,055

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
$4,897.79
Median
$12,022.64
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$8,511.38
Excellus BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$23,442.29
Typical High
$36,307.81
Univera
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$23,442.29
Typical High
$36,307.81

Where New York sits

The same service costs 117.5 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· 10th of 42

$19,055

ME $33,113HI $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.