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Coordinated Care Fee, Risk Adjusted Maintenance, Level 4

New York rates for HCPCS G9010

Coordinated care fee, risk adjusted maintenance, Level 4

Rates data updated July 2026.

How much does Coordinated Care Fee, Risk Adjusted Maintenance, Level 4 cost?

$525

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $525 for this service. The price depends on where it is billed: about $525 from a physician practice, and about $525 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 5 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$525$525 to $525
FacilityA hospital or hospital-owned outpatient department$525$525 to $525

How much rates vary

Facilitymedian $525 · 10th to 90th $525 to $525Professionalmedian $525 · 10th to 90th $525 to $525
$100.0$500.0$2.0K$10.0K$50.0Kfacility $525professional $525

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$53,703.18
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Univera
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81

Where New York sits

The same service costs 501187.2 times more in Virginia than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $525 · 7th of 42
VA $10,000TN $0.02

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.