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Nationwide rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Facilitymedian $117 · 10th–90th $44$4270%10%20%10th90th$117Professionalmedian $87 · 10th–90th $56$1350%50%10th90th$87$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$42.66 / $120.23 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $128.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $478.63 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $69.18 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $263.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $354.81 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $190.55