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New York rates for MS-DRG 101

Seizures w/o MCC

Facilitymedian $19,498 · 10th–90th $8,710$35,4810%5%10%10th90th$19,498$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $16,982.44 / $35,481.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $25,118.86 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $21,877.62 / $30,902.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $22,387.21 / $56,234.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,511.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $16,595.87 / $28,183.83