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New York rates for HCPCS 86161

Complement; functional activity, each component

Facilitymedian $24 · 10th–90th $10$790%10%10th90th$24Professionalmedian $11 · 10th–90th $6$210%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $25.70 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $17.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.17 / $28.18
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $12.02 / $12.02
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $28.84 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.98 / $81.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $13.80 / $33.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $8.32 / $23.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $15.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $30.20 / $58.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.32 / $26.92
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $12.02 / $28.84
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.59 / $38.90