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New Jersey rates for HCPCS G0397

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

Facilitymedian $72 · 10th–90th $56–$4170%20%40%10th90th$72Professionalmedian $62 · 10th–90th $45–$760%20%10th90th$62$50.0$100.0$200.0$500.0$1.0K

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
$56.23 / $72.44 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $63.10 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $97.72 / $131.83
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $446.68 / $812.83
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $51.29 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $67.61 / $128.82