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Texas 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 $15 · 10th–90th $11–$190%20%10th90th$15$1.0$2.0$5.0$10.0$20.0$50.0$100.0

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
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $14.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $138.04 / $138.04
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.80 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $25.70 / $40.74
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $17.78 / $28.84
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $17.78 / $20.89