go back

New York rates for HCPCS 99316

Nursing facility discharge management; more than 30 minutes total time on the date of the encounter

Facilitymedian $155 · 10th–90th $93$2630%20%10th90th$155Professionalmedian $110 · 10th–90th $74$2140%20%10th90th$110$1.0$10.0$100.0$1.0K$10.0K

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
$97.72 / $154.88 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $109.65 / $204.17
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $89.13 / $194.98
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $141.25 / $602.56
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $125.89 / $302.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $239.88 / $407.38
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $123.03 / $123.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $104.71 / $239.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $407.38 / $457.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $131.83 / $251.19
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $125.89 / $223.87
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $125.89 / $478.63