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Rhode Island 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 $50–$2290%20%10th90th$74Professionalmedian $74 · 10th–90th $38–$1620%10%10th90th$74$20.0$50.0$100.0$200.0$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
$50.12 / $74.13 / $263.03
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$208.93 / $229.09 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $69.18 / $147.91
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$42.66 / $100.00 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $85.11 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $69.18 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $173.78 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $77.62 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $77.62 / $134.90
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78