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New York rates for HCPCS 96164

Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutes

Facilitymedian $12 · 10th–90th $8$690%10%10th90th$12Professionalmedian $9 · 10th–90th $7$190%10%20%10th90th$9$5.0$10.0$20.0$50.0$100.0

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
$7.94 / $12.02 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $16.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $15.49
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $27.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $31.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $17.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $13.49 / $22.39
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.13 / $37.15
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.71 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.48 / $28.18
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $11.48 / $11.48
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $12.59 / $22.39