Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low 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 presenting problem(s) are of moderate severity. Typically, 30 minutes are spent with the patient and/or family or caregiver.
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 | $181.97 | $309.03 | $954.99 | |
Cigna
| Facility | $199.53 | $281.84 | $676.08 | |
Cigna
| Professional | $138.04 | $173.78 | $316.23 | |
United
| Facility | $64.57 | $79.43 | $89.13 | |
United
| Professional | $63.10 | $89.13 | $131.83 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.