Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. 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 self-limited or minor. Typically, 15 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 | $128.82 | $218.78 | $724.44 | |
Cigna
| Facility | $151.36 | $213.80 | $512.86 | |
Cigna
| Professional | $107.15 | $131.83 | $245.47 | |
United
| Facility | $48.98 | $60.26 | $66.07 | |
United
| Professional | $44.67 | $64.57 | $97.72 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.