go back

New York rates for HCPCS G0442

Annual alcohol misuse screening, 5 to 15 minutes

Facilitymedian $11 · 10th–90th $5$210%10%20%10th90th$11Professionalmedian $18 · 10th–90th $8$380%5%10%10th90th$18$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
$5.01 / $10.96 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $14.45 / $27.54
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $16.98 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.95 / $28.84
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $39.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $19.50
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $38.90
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $22.39
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $18.20 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $26.30 / $87.10
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $9.77 / $16.60
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $34.67