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New York 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 $47 · 10th–90th $20$1200%10%10th90th$47Professionalmedian $31 · 10th–90th $23$460%20%10th90th$31$0.1$0.5$2.0$10.0$50.0$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
$20.89 / $58.88 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $30.90 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $34.67 / $56.23
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $50.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $56.23
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $52.48 / $70.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $37.15 / $72.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $51.29 / $123.03
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $27.54 / $112.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $44.67 / $95.50
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $33.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $69.18