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Pharmacy

New York rates for RC 0250

Pharmacy-General Classification

Rates data updated July 2026.

How much does Pharmacy cost?

$5.25

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $5.25 for this service. Most negotiated rates run $1.32 to $14.13.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5 · 10th to 90th $1 to $35
$0.1$1$10$100facility $5

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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$446.68
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$57,543.99
Typical High
$57,543.99
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.55
Median
$5.13
Typical High
$32.36
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$2.63

Where New York sits

The same service costs 16218.1 times more in New Jersey than in West Virginia. 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· 34th of 36

$5.25

NJ $57,544WV $3.55

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.