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New York rates for HCPCS 0231U

Rates data updated July 2026.

How much does HCPCS 0231U cost?

$692

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $550 from a physician practice, and about $1,479 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$550$339 to $759
FacilityA hospital or hospital-owned outpatient department$1,479$851 to $1,950

How much rates vary

Facilitymedian $1,479 · 10th to 90th $589 to $2,344Professionalmedian $550 · 10th to 90th $339 to $1,148
$200$500$1K$2Kfacility $1,479professional $550

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$1,513.56
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$660.69
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$831.76
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$4,073.80
Typical High
$4,073.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$851.14
Typical High
$1,905.46
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,047.13
Typical High
$1,621.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$831.76
Typical High
$1,513.56
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,584.89
Typical High
$50,118.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$851.14
Typical High
$1,513.56
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$851.14
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$512.86
Typical High
$1,148.15
Univera
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$851.14
Typical High
$977.24
Univera
Setting
Professional
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$2,041.74

Where New York sits

The same service costs 3.7 times more in Alaska than in Wyoming. 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· 33rd of 51

$692

AK $1,905WY $513

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.