Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded.
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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $194.98 / $371.54
Facility
$100.00
$194.98
$371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $416.87
Professional
$141.25
$199.53
$416.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $177.83 / $199.53
Facility
$144.54
$177.83
$199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $181.97 / $354.81
Professional
$131.83
$181.97
$354.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $275.42 / $288.40
Facility
$194.98
$275.42
$288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $251.19 / $416.87
Professional
$177.83
$251.19
$416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $194.98 / $281.84
Facility
$125.89
$194.98
$281.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $229.09 / $446.68
Professional
$147.91
$229.09
$446.68
See more rates by state
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.