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Coordinated Care Fee, Risk Adjusted Maintenance, Level 4

Texas rates for HCPCS G9010

Coordinated care fee, risk adjusted maintenance, Level 4

Rates data updated July 2026.

How much does Coordinated Care Fee, Risk Adjusted Maintenance, Level 4 cost?

$148

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $148 for this service. The price depends on where it is billed: about $1.70 from a physician practice, and about $148 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1.70$1.26 to $115
FacilityA hospital or hospital-owned outpatient department$148$148 to $3,388

How much rates vary

Facilitymedian $148 · 10th to 90th $148 to $4,169Professionalmedian $2 · 10th to 90th $1 to $148
$0.1$1.0$10.0$100.0$1.0Kfacility $148professional $2

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
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,786.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$147.91
Typical High
$147.91
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.70

Where Texas sits

The same service costs 501187.2 times more in Virginia than in Tennessee. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Texas $148 · 10th of 42
VA $10,000TN $0.02

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.