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 |
|---|---|---|---|---|---|
CDPHP
| Professional | $45.71 | $45.71 | $66.07 | |
Emblem Health
| Facility | $0.10 | $0.10 | $36.31 | |
Emblem Health
| Professional | $36.31 | $44.67 | $47.86 | |
United
| Facility | $33.88 | $45.71 | $81.28 | |
United
| Professional | $25.70 | $41.69 | $61.66 |