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ArthroFlex

New York rates for HCPCS Q4125

ArthroFlex, per sq cm (add-on, list separately in addition to primary procedure)

Rates data updated July 2026.

How much does ArthroFlex cost?

$126

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $138 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$126$38.90 to $138
FacilityA hospital or hospital-owned outpatient department$138$138 to $186

How much rates vary

Facilitymedian $138 · 10th to 90th $138 to $7,586Professionalmedian $126 · 10th to 90th $34 to $138
$10.0$100.0$1.0K$10.0Kfacility $138professional $126

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
$138.04
Median
$138.04
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$37.15
Typical High
$63.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$186.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$199.53
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$213.80
Typical High
$263.03
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
$125.89
Median
$138.04
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$165.96

Where New York sits

The same service costs 3.7 times more in Alaska than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $126 · 50th of 51
AK $141MN $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.