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Minnesota 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 $74 · 10th–90th $37–$2400%5%10th90th$74Professionalmedian $93 · 10th–90th $47–$1910%5%10th90th$93$20.0$50.0$100.0$200.0$500.0$1.0K

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
$32.36 / $56.23 / $144.54
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$33.11 / $33.88 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $75.86 / $177.83
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$46.77 / $93.33 / $190.55
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $87.10 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $128.82 / $199.53
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$58.88 / $104.71 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $234.42 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $131.83 / $239.88
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $257.04 / $501.19
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $131.83 / $234.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $75.86 / $147.91
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$229.09 / $229.09 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $169.82 / $302.00
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$125.89 / $194.98 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $63.10 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $102.33 / $186.21
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$69.18 / $79.43 / $144.54