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Nervous System Procedures (without CC/MCC)

New York rates for MS-DRG 042

Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC

Rates data updated July 2026.

How much does Nervous System Procedures (without CC/MCC) cost?

$44,668

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $29,512 to $57,544.

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.

How much rates vary

Facilitymedian $44,668 · 10th to 90th $19,498 to $67,608
$10K$20K$50K$100Kfacility $44,668

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
$14,125.38
Median
$35,481.34
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$56,234.13
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$47,863.01
Typical High
$61,659.50
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$42,657.95
Typical High
$87,096.36
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$16,982.44
United
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$36,307.81
Typical High
$60,255.96

Where New York sits

The same service costs 3.8 times more in California than in New Mexico. 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· 3rd of 51

$44,668

CA $52,481NM $13,804

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.