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New York rates for HCPCS G2012

Brief communication technology-based service, e.g., virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion

Facilitymedian $17 · 10th–90th $13–$190%20%40%10th90th$17Professionalmedian $19 · 10th–90th $11–$710%10%10th90th$19$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $58.88 / $70.79
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $17.38
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $19.50 / $75.86