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New York rates for HCPCS 0312U

Rates data updated July 2026.

How much does HCPCS 0312U cost?

$676

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $457 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$457$339 to $676
FacilityA hospital or hospital-owned outpatient department$1,479$851 to $1,950

How much rates vary

Facilitymedian $1,479 · 10th to 90th $676 to $2,291Professionalmedian $457 · 10th to 90th $339 to $832
$500$1K$2Kfacility $1,479professional $457

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
$676.08
Median
$1,513.56
Typical High
$2,290.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$707.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,174.90
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$4,073.80
Typical High
$4,073.80
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$1,380.38
Typical High
$3,235.94
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$501.19
Typical High
$1,621.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$794.33
Typical High
$977.24
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
$549.54
Median
$794.33
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$501.19
Typical High
$1,230.27
Univera
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$851.14
Typical High
$977.24
Univera
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$831.76
Typical High
$977.24

Where New York sits

The same service costs 2.3 times more in North Dakota than in Nebraska. 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· 37th of 51

$676

ND $1,259NE $550

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.