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Insert for Indwelling Tracheo-Esophageal Prosthesis

New York rates for HCPCS L8511

Insert for indwelling tracheo-esophageal prosthesis, with or without valve, replacement only, each

Rates data updated July 2026.

How much does Insert for Indwelling Tracheo-Esophageal Prosthesis cost?

$48.98

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $48.98 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $53.70 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$48.98$42.66 to $70.79
FacilityA hospital or hospital-owned outpatient department$53.70$38.02 to $89.13

How much rates vary

Facilitymedian $54 · 10th to 90th $37 to $132Professionalmedian $49 · 10th to 90th $37 to $129
$100$1K$10Kfacility $54professional $49

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
$31.62
Median
$41.69
Typical High
$97.72
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$41.69
Typical High
$57.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$173.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$147.91
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$70.79
Typical High
$70.79
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$69.18
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$69.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$144.54
Typical High
$338.84
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$91.20
Typical High
$165.96
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$39.81
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$54.95
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$83.18
Typical High
$97.72
United
Setting
Facility
Modifier
Global
Typical Low
$33.11
Median
$60.26
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$57.54
Typical High
$144.54
Univera
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$45.71
Typical High
$51.29
Univera
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$51.29
Typical High
$54.95

Where New York sits

The same service costs 2.3 times more in Wisconsin than in Delaware. 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· 30th of 51

$48.98

WI $89.13DE $38.02

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.