go back

Minnesota rates for HCPCS G9685

Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. This service is for a demonstration project

Facilitymedian $589 · 10th–90th $324–$1,5850%10%20%10th90th$589Professionalmedian $288 · 10th–90th $170–$5130%10%10th90th$288$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $169.82 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $371.54 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $676.08 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $234.42 / $257.04
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $645.65 / $1,258.93
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $346.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $371.54 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $676.08