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Methyl Aminolevulinate for Topical Administration

New York rates for HCPCS J7309

Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g

Rates data updated July 2026.

How much does Methyl Aminolevulinate for Topical Administration cost?

$85.11per g

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $85.11 for each g of this drug. The price depends on where it is billed: about $85.11 from a physician practice, and about $72.44 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per g. Enter the amount given to see what insurers have agreed to pay for it.

g
In a doctor's office or clinic
$85.11
At a hospital outpatient department
$72.44

The same drug, in the same amount, costs 15% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

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$85.11$83.18 to $95.50
FacilityA hospital or hospital-owned outpatient department$72.44$38.02 to $79.43

How much rates vary

Facilitymedian $72 · 10th to 90th $1 to $50,119Professionalmedian $85 · 10th to 90th $51 to $148
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $72professional $85

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
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$104.71
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$38.02
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$85.11
Typical High
$147.91
Univera
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
Univera
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$72.44
Typical High
$79.43

Where New York sits

The same service costs 436.5 times more in Tennessee than in Rhode Island. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $85.11 · 21st of 51
TN $417RI $0.95

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.