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New York rates for HCPCS 99401

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes

Facilitymedian $46 · 10th–90th $18$2750%10%10th90th$46Professionalmedian $39 · 10th–90th $22$980%10%20%10th90th$39$0.1$0.5$2.0$10.0$50.0$200.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $46.77 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $35.48 / $83.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $38.02 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $36.31 / $44.67
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $44.67 / $89.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $44.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $74.13
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $35.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $41.69 / $79.43
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $51.29
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $54.95 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $39.81 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $57.54 / $190.55
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $20.89 / $45.71
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $42.66 / $66.07