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Virginia 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 $45–$1290%10%20%10th90th$69Professionalmedian $76 · 10th–90th $42–$1620%10%20%10th90th$76$1.0$5.0$20.0$100.0$500.0$2.0K

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
$39.81 / $60.26 / $114.82
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$131.83 / $141.25 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $70.79 / $154.88
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$50.12 / $91.20 / $190.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $77.62 / $131.83
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $42.66 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $75.86 / $125.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $85.11 / $131.83
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $79.43 / $107.15
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $74.13 / $120.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $147.91
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $57.54 / $93.33
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $83.18 / $138.04
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $54.95 / $83.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $69.18 / $117.49
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $79.43 / $100.00