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Other Pharmacy

New York rates for RC 0259

Pharmacy-Other Pharmacy

Rates data updated July 2026.

How much does Other Pharmacy cost?

$13.80

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $13.80 for this service. Most negotiated rates run $0.93 to $1,820.

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 $14 · 10th to 90th $0 to $2,042
$1$10$100$1K$10Kfacility $14

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
$1,698.24
Median
$1,819.70
Typical High
$2,041.74
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
$0.32
Median
$2.34
Typical High
$47.86
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 25118.9 times more in New Jersey than in Kansas. 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· 17th of 26

$13.80

NJ $57,544KS $2.29

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.