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Induced Abortion Using Vaginal Medication

New York rates for HCPCS 59855

A medically induced pregnancy termination performed using vaginal suppository medication, such as a prostaglandin, sometimes combined with a cervical-softening device to help the cervix open. The service covers the full course of care including hospital admission, monitoring visits, and delivery of the fetus and placental tissue. It is a medication-based method rather than a surgical procedure such as dilation and curettage.

Rates data updated July 2026.

How much does Induced Abortion Using Vaginal Medication cost?

$832

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $832 for this service. The price depends on where it is billed: about $501 from a physician practice, and about $4,365 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 9 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$501$407 to $741
FacilityA hospital or hospital-owned outpatient department$4,365$2,630 to $6,607

How much rates vary

Facilitymedian $4,365 · 10th to 90th $603 to $10,233Professionalmedian $501 · 10th to 90th $355 to $1,202
$100.0$1.0K$10.0Kfacility $4,365professional $501

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
$501.19
Median
$3,019.95
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$1,288.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$4,786.30
Typical High
$9,332.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$436.52
Typical High
$1,096.48
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$37,153.52
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$588.84
Typical High
$588.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$676.08
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$1,995.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$758.58
Typical High
$1,548.82
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$602.56
Typical High
$891.25
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$549.54
Typical High
$891.25
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$4,365.16
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$1,380.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$457.09
Typical High
$1,412.54
Univera
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$512.86
Typical High
$1,348.96

Where New York sits

The same service costs 10.0 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $832 · 9th of 51
CA $3,981DE $398

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.