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Nevada 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 $224 · 10th–90th $68–$2240%50%10th$224Professionalmedian $76 · 10th–90th $43–$2040%10%10th90th$76$0.5$2.0$10.0$50.0$200.0

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
$79.43 / $223.87 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $72.44 / $194.98
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$58.88 / $87.10 / $257.04
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$58.88 / $72.44 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $72.44 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $128.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $70.79 / $114.82
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $64.57 / $104.71
Hometown Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.48 / $61.66 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $69.18 / $97.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $63.10 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $70.79 / $123.03
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $85.11 / $144.54