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Adhesion Barrier

New York rates for HCPCS C1765

Adhesion barrier

Rates data updated October 2026.

How much does Adhesion Barrier cost?

$457

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $457 for this service. The price depends on where it is billed: about $457 from a physician practice, and about $69.18 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$457$457 to $457
FacilityA hospital or hospital-owned outpatient department$69.18$3.47 to $251

How much rates vary

Facilitymedian $69 · 10th to 90th $3 to $457Professionalmedian $457 · 10th to 90th $3 to $457
$10$100$1Kfacility $69professional $457

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$501.19
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$457.09
Typical High
$457.09
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.74
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.69
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$69.18
Typical High
$69.18
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$45.71
Typical High
$45.71
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,548.82
Typical High
$1,819.70
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$181.97
Median
$251.19
Typical High
$257.04
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$60.26
Typical High
$64.57
Univera
Setting
Facility
Modifier
None
Typical Low
$58.88
Median
$69.18
Typical High
$69.18
Univera
Setting
Professional
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18

Where New York sits

The same service costs 446.7 times more in Connecticut than in Idaho. 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· 8th of 51

$457

CT $1,549ID $3.47

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.