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Health Risk Questionnaire And Interpretation

Texas rates for HCPCS 99420

A standard health risk questionnaire is given to the patient, scored, and then interpreted by the provider. It asks about things such as smoking, alcohol, diet, activity, and family history, and the result is used to show where a person's risk is raised and what could bring it down.

Rates data updated July 2026.

How much does Health Risk Questionnaire And Interpretation cost?

$19.95

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $19.95 for this service. The price depends on where it is billed: about $295 from a physician practice, and about $12.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$295$282 to $295
FacilityA hospital or hospital-owned outpatient department$12.88$10.72 to $18.62

How much rates vary

Facilitymedian $13 · 10th to 90th $6 to $30Professionalmedian $295 · 10th to 90th $282 to $295
$10$20$50$100$200facility $13professional $295

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$23.99
Typical High
$53.70
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$245.47
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$295.12
Typical High
$295.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.88
Typical High
$21.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$12.88
Typical High
$21.88

Where Texas sits

The same service costs 30.9 times more in Massachusetts than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Texas· 23rd of 42

$19.95

MA $282FL $9.12

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.