Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high 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 unstable or has developed a significant new problem requiring immediate physician attention. Typically, 75 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 | $457.09 | $776.25 | $2,570.40 | |
Cigna
| Facility | $549.54 | $776.25 | $1,819.70 | |
Cigna
| Professional | $380.19 | $478.63 | $870.96 | |
United
| Facility | $117.49 | $162.18 | $218.78 | |
United
| Professional | $158.49 | $229.09 | $354.81 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.