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California rates for HCPCS 96127

Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrument

Facilitymedian $6 · 10th–90th $4$130%10%10th90th$6Professionalmedian $11 · 10th–90th $5$500%5%10%10th90th$11$1.0$5.0$20.0$100.0$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
$5.01 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $12.88 / $52.48
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$5.50 / $5.50 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.79 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $10.72 / $21.88
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $6.46 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $7.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $6.76 / $10.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $5.75 / $8.51
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $40.74 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $32.36 / $60.26
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.75 / $9.12
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.01 / $8.32
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $6.17 / $7.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $5.89 / $22.91