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Follow-up Inpatient Telehealth Consultation, Limited

Pennsylvania rates for HCPCS G0406

Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth

Rates data updated July 2026.

How much does Follow-up Inpatient Telehealth Consultation, Limited cost?

$38.90

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $38.90 for this service. The price depends on where it is billed: about $38.90 from a physician practice, and about $42.66 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 9 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$38.90$34.67 to $43.65
FacilityA hospital or hospital-owned outpatient department$42.66$42.66 to $42.66

How much rates vary

Facilitymedian $43 · 10th to 90th $43 to $43Professionalmedian $39 · 10th to 90th $30 to $63
$100$1K$10Kfacility $43professional $39

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$37.15
Typical High
$54.95
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$53.70
Typical High
$70.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$60.26
Typical High
$87.10
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$50.12
Typical High
$85.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$38.90
Typical High
$64.57
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$40.74
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$40.74
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$43.65
Typical High
$77.62

Where Pennsylvania sits

The same service costs 2.5 times more in Alaska than in Louisiana. 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.

Pennsylvania· 35th of 51

$38.90

AK $81.28LA $33.11

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.