go back

Blood Cleaning Through A Charcoal Filter

New York rates for HCPCS 90997

A treatment in which blood is drawn out of the body, passed through a cartridge packed with a binding material such as activated charcoal, and returned. The material traps toxins that would otherwise stay in the bloodstream.

Rates data updated July 2026.

How much does Blood Cleaning Through A Charcoal Filter cost?

$102

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $112 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$102$83.18 to $145
FacilityA hospital or hospital-owned outpatient department$112$93.33 to $126

How much rates vary

Facilitymedian $112 · 10th to 90th $85 to $162Professionalmedian $102 · 10th to 90th $74 to $234
$100$200$500$1K$2Kfacility $112professional $102

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
$85.11
Median
$112.20
Typical High
$162.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$123.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$79.43
Typical High
$162.18
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$125.89
Typical High
$281.84
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$239.88
Typical High
$457.09
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$162.18
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$93.33
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$109.65
Typical High
$208.93
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$134.90
Typical High
$2,041.74
Univera
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$128.82
Typical High
$338.84
Univera
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$93.33
Typical High
$218.78

Where New York sits

The same service costs 2.3 times more in Minnesota than in West Virginia. 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· 18th of 51

$102

MN $200WV $87.10

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.