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Arizona 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.

Facilitymedian $69 · 10th–90th $35–$8320%5%10th90th$69Professionalmedian $83 · 10th–90th $43–$2190%5%10th90th$83$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $91.20 / $933.25
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$16.60 / $181.97 / $1,348.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $79.43 / $204.17
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$56.23 / $100.00 / $251.19
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $70.79 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$56.23 / $70.79 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $53.70 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $109.65 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $70.79 / $131.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $63.10 / $107.15
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,584.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $91.20 / $457.09
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $162.18 / $190.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $47.86 / $67.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $69.18 / $114.82
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$58.88 / $77.62 / $100.00