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Unclassified Compounded Drug

New York rates for HCPCS J7999

Compounded drug, not otherwise classified

Rates data updated July 2026.

How much does Unclassified Compounded Drug cost?

$200

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $200 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $87.10 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 6 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$224$191 to $251
FacilityA hospital or hospital-owned outpatient department$87.10$6.61 to $389

How much rates vary

Facilitymedian $87 · 10th to 90th $4 to $457Professionalmedian $224 · 10th to 90th $87 to $363
$1.0$10.0$100.0$1.0K$10.0Kfacility $87professional $224

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
$3.98
Median
$87.10
Typical High
$457.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$87.10
Typical High
$112.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$239.88
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$5.13
Typical High
$21.88
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$60.26

Where New York sits

The same service costs 616.6 times more in New York than in Oklahoma. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $200 · 1st of 51
NY $200OK $0.32

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.