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Texas rates for HCPCS 99401

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

Facilitymedian $35 · 10th–90th $21$660%5%10%10th90th$35Professionalmedian $31 · 10th–90th $19$490%10%10th90th$31$10.0$20.0$50.0$100.0$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
$19.05 / $32.36 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.90 / $57.54
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $34.67 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $46.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $39.81
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $51.29
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $66.07
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $56.23 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $37.15 / $63.10
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $61.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $45.71 / $83.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $36.31 / $63.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $39.81 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $51.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $33.88 / $54.95
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $39.81 / $43.65