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Pennsylvania rates for HCPCS 99406

Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes

Facilitymedian $27 · 10th–90th $13–$660%20%10th90th$27Professionalmedian $18 · 10th–90th $11–$340%10%20%10th90th$18$1.0$10.0$100.0$1.0K$10.0K

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
$12.88 / $26.92 / $66.07
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $17.38 / $32.36
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $25.12 / $51.29
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$11.48 / $14.79 / $23.99
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.22 / $17.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $25.70
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.22 / $30.90
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $26.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $75.86 / $177.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $16.60
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$13.80 / $15.49 / $15.85
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $1,819.70
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $17.38 / $17.78
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.85 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $26.30
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $30.90
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $10.47 / $15.14
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $11.48 / $15.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $56.23 / $97.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $25.12
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$16.98 / $30.20 / $95.50