Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. 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 presenting problem(s) are self limited or minor. Typically, 15 minutes are spent face-to-face with the patient and/or family.
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $93.33 | $138.04 | $162.18 | |
Cigna
| Professional | $89.13 | $100.00 | $147.91 | |
United
| Facility | $25.12 | $39.81 | $56.23 | |
United
| Professional | $28.84 | $44.67 | $70.79 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.