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Visit for Drug Monitoring

Pennsylvania rates for HCPCS M0064

Visit for drug monitoring

Rates data updated July 2026.

How much does Visit for Drug Monitoring cost?

$50.12

Typical physician fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50.12 for this service. Most negotiated rates run $29.51 to $54.95.

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

Professionalmedian $50 · 10th to 90th $18 to $74
$20$50$100professional $50

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.89
Typical High
$74.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$54.95
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$29.51
Typical High
$120.23

Where Pennsylvania 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.

Pennsylvania· 22nd of 47

$50.12

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.