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New York rates for HCPCS G2011

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes

Professionalmedian $16 · 10th–90th $11–$230%20%10th90th$16$0.5$2.0$10.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.14 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.20 / $26.92
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $26.92
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $25.12 / $33.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $18.20 / $35.48
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.88 / $37.15
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $18.20 / $33.88