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Oregon 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 $105 · 10th–90th $52–$1660%10%10th90th$105Professionalmedian $89 · 10th–90th $47–$2040%5%10th90th$89$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
$63.10 / $117.49 / $181.97
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$114.82 / $158.49 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $81.28 / $194.98
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $104.71 / $269.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $95.50 / $173.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $181.97
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $79.43 / $138.04
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$114.82 / $158.49 / $281.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $97.72 / $169.82
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $109.65 / $251.19
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $144.54
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $77.62 / $141.25
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $112.20 / $181.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $125.89 / $190.55
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
$61.66 / $102.33 / $169.82
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$58.88 / $85.11 / $114.82