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Commercial insurance rates / New York / SUD

New York SUD Intensive Outpatient (IOP) Rates

See commercial insurance carrier medians for Intensive Outpatient (IOP) in New York. Each median below describes the same selected billing code: RC 906.

Revenue code 906 · ASAM Level 2.1

Four carrier medians for RC 906

Blue Cross Blue Shield$175median · RC 906
United Healthcare/Optum$175median · RC 906
Cigna/Evernorth$200median · RC 906
Aetna/CVS$155median · RC 906

Understanding Intensive Outpatient (IOP) in New York

Intensive Outpatient (IOP) is one level of care within SUD treatment. Coverage and contracting vary by payer and organization. These medians describe the selected billing code, not every service provided at this level of care.

Selected code: RC 906. Behavioral Health Treatment Services, Intensive Outpatient Services, Chemical Dependency · Institutional billing · Organizations. These figures cover one code, not total treatment costs. Billing-unit and modifier scope have not been verified for this public comparison.

Same public medians · more detail with access

Compare carrier rates

Same carrier medians for RC 906 as above. Low and high ranges require subscription access.

New York, SUD, Intensive Outpatient (IOP), RC 906: public median by carrier; low and high ranges unavailable publicly.
CarrierLow
Subscribers
Median
Public
High
Subscribers
Blue Cross Blue ShieldSubscriber only$175Subscriber only
United Healthcare/OptumSubscriber only$175Subscriber only
Cigna/EvernorthSubscriber only$200Subscriber only
Aetna/CVSSubscriber only$155Subscriber only

Explore provider rates

Individual provider names, identifiers and rates require access.

Explore more codes in this level of care

Compare other billing codes, low and high rates, and individual provider rates where coverage is available with a Starset Rate Compass subscription.

Source: commercial insurers’ Transparency in Coverage filings, prepared by Third Horizon. Median rates use the source’s D15 outlier filtering. A minimum of 10 rate facts and a valid, unsuppressed median are required for each carrier; missing values are never substituted. Figures rounded to whole dollars.

Data prepared · checked · dataset version 2026_04v9 · ny_sud_code_network.

Frequently asked questions

What do these carrier medians show?

The public medians compare the same billing code, RC 906, across four carrier families. They summarize published commercial negotiated rates for organizations in New York; they are not a quote or a payment guarantee. Additional billing codes, rate ranges and provider details require access.

Can I see other codes and provider rates?

Open the subscriber view to explore other codes, rate ranges and individual organizations where coverage is available. Existing account access is checked there.

How should I compare billing units?

Billing code, claim context and payer rules affect comparisons. Read the billing-unit guide before using rates for a contract decision.