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Washington rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Facilitymedian $117 · 10th–90th $32–$3720%10%10th90th$117Professionalmedian $87 · 10th–90th $74–$1290%50%10th90th$87$1.0$5.0$20.0$100.0$500.0$2.0K

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
$31.62 / $112.20 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $87.10 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $97.72
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $331.13 / $562.34
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $323.59 / $323.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $489.78 / $630.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $79.43 / $85.11