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New Jersey rates for HCPCS G0396

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

Facilitymedian $36 · 10th–90th $28–$870%20%40%10th90th$36Professionalmedian $31 · 10th–90th $23–$390%20%10th90th$31$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
$28.18 / $36.31 / $38.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $30.90 / $38.90
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $53.70 / $63.10
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $91.20 / $151.36
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $27.54 / $30.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $35.48 / $66.07