Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to 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 stable, recovering, or improving. Typically, 30 minutes are spent at the bedside and on the patient's facility 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 |
|---|---|---|---|---|---|
BCBS
| Facility | $186.21 | $316.23 | $1,047.13 | |
Cigna
| Facility | $239.88 | $338.84 | $812.83 | |
Cigna
| Professional | $165.96 | $208.93 | $389.05 | |
United
| Facility | $30.90 | $69.18 | $95.50 | |
United
| Professional | $50.12 | $95.50 | $154.88 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.