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Minnesota rates for HCPCS 96116

Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professional, both face-to-face time with the patient and time interpreting test results and preparing the report; first hour

Facilitymedian $100 · 10th–90th $72–$1910%10%10th90th$100Professionalmedian $100 · 10th–90th $72–$2570%10%10th90th$100$20.0$50.0$100.0$200.0$500.0

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
$64.57 / $85.11 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $87.10 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $70.79 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $186.21 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $288.40 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $223.87
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $275.42 / $549.54
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $112.20 / $213.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $102.33 / $162.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $165.96 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $295.12