Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)
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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $56.23 / $138.04
Facility
$37.15
$56.23
$138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $44.67 / $107.15
Professional
$32.36
$44.67
$107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $63.10 / $158.49
Facility
$50.12
$63.10
$158.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $56.23 / $107.15
Professional
$20.89
$56.23
$107.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $100.00 / $275.42
Facility
$54.95
$100.00
$275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $67.61 / $120.23
Professional
$37.15
$67.61
$120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $57.54 / $66.07
Facility
$43.65
$57.54
$66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $57.54 / $102.33
Professional
$39.81
$57.54
$102.33
See more rates by state
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