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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
$44.85 / $75.36 / $189.15
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$116.19 / $167.04 / $226.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.88 / $68.81 / $146.50
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$54.84 / $87.52 / $203.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.65 / $154.98 / $188.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $71.50 / $116.12
BCBS
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$59.67 / $59.67 / $59.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.07 / $134.50 / $181.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.18 / $78.53 / $136.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.08 / $83.08 / $83.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.06 / $83.06 / $142.52