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Visit for Drug Monitoring

New York rates for HCPCS M0064

Visit for drug monitoring

Rates data updated July 2026.

How much does Visit for Drug Monitoring cost?

$54.95

Typical physician fee. In New York, July 2026.

Insurers have agreed to pay about $54.95 for this service. Most negotiated rates run $54.95 to $64.57.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $65 · 10th to 90th $50 to $74
$0.1$1$10$100facility $0professional $65

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$20.89
Typical High
$74.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$0.10
Median
$0.10
Typical High
$0.10
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$60.26
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$81.28

Where New York sits

The same service costs 7.1 times more in Tennessee than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 21st of 47

$54.95

TN $148UT $20.89

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.