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Visit for Drug Monitoring

Virginia rates for HCPCS M0064

Visit for drug monitoring

Rates data updated July 2026.

How much does Visit for Drug Monitoring cost?

$32.36

Typical physician fee. In Virginia, July 2026.

Insurers have agreed to pay about $32.36 for this service. Most negotiated rates run $29.51 to $58.88.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $32 · 10th to 90th $21 to $74
$20$50professional $32

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
$16.60
Median
$20.89
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Medcost
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$32.36
Typical High
$64.57
Medcost
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57

Where Virginia 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.

Virginia· 28th of 47

$32.36

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.