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Nationwide rates for HCPCS 99202

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $74.13 / $229.09
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$64.57 / $154.88 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $75.86 / $181.97
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$54.95 / $93.33 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $66.07 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $66.07 / $112.20
BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$60.26 / $60.26 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $141.25 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $75.86 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $61.66 / $69.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $69.18 / $117.49