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CORF Social Work or Psychological Services, Individual

North Carolina rates for HCPCS G0409

Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a CORF qualified social worker or psychologist in a CORF)

Rates data updated July 2026.

How much does CORF Social Work or Psychological Services, Individual cost?

$19.05

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.05 from a physician practice, and about $13.80 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 6 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$19.05$11.75 to $23.44
FacilityA hospital or hospital-owned outpatient department$13.80$10.47 to $21.38

How much rates vary

Facilitymedian $14 · 10th to 90th $9 to $28Professionalmedian $19 · 10th to 90th $9 to $28
$10$20$50$100facility $14professional $19

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
$10.47
Median
$10.47
Typical High
$16.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$12.59
Typical High
$21.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$23.44
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Medcost
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$13.49
Typical High
$13.49
Medcost
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$13.80
Typical High
$27.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$13.49
Typical High
$30.90
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$204.17

Where North Carolina sits

The same service costs 2.5 times more in Minnesota 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.

North Carolina· 9th of 51

$19.05

MN $27.54LA $11.22

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.