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Cognitive and Functional Assessment, Outpatient

California rates for HCPCS G0505

Cog/func assessment outpt

Rates data updated July 2026.

How much does Cognitive and Functional Assessment, Outpatient cost?

$309

Typical physician fee. In California, July 2026.

Insurers have agreed to pay about $309 for this service. Most negotiated rates run $302 to $776.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $302 · 10th to 90th $302 to $302Professionalmedian $776 · 10th to 90th $224 to $977
$200.0$500.0$1.0Kfacility $302professional $776

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$229.09
Typical High
$309.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$977.24

Where California sits

The same service costs 25.7 times more in Texas than in South Carolina. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $309 · 8th of 41
TX $776SC $30.20

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.