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Delaware rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Facilitymedian $107 · 10th–90th $54–$3160%10%20%10th90th$107Professionalmedian $87 · 10th–90th $74–$1150%50%10th90th$87$10.0$20.0$50.0$100.0$200.0$500.0

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
$53.70 / $107.15 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72