Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
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 | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Cigna
| Facility | $181.97 | $251.19 | $602.56 | |
Cigna
| Professional | $123.03 | $169.82 | $288.40 | |
United
| Facility | $53.70 | $70.79 | $72.44 | |
United
| Professional | $53.70 | $79.43 | $117.49 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.