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Physician Review and Management of Home INR Testing

Utah rates for HCPCS G0250

Physician review, interpretation, and patient management of home INR testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include four tests

Rates data updated July 2026.

How much does Physician Review and Management of Home INR Testing cost?

$8.71

Typical physician fee. In Utah, July 2026.

Insurers have agreed to pay about $8.71 for this service. Most negotiated rates run $7.24 to $11.22.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11 · 10th to 90th $11 to $12Professionalmedian $9 · 10th to 90th $6 to $15
$10.0$100.0$1.0K$10.0Kfacility $11professional $9

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.32
Typical High
$11.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$10.96
Typical High
$14.45
Select Health
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Select Health
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$10.00
Typical High
$16.22
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$12.59
Typical High
$17.38
United
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$10.00
Typical High
$15.85

Where Utah sits

The same service costs 1.8 times more in North Carolina than in Texas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Utah $8.71 · 27th of 51
NC $14.13TX $7.94

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.