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Vermont 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 $47–$1020%10%20%10th90th$69Professionalmedian $78 · 10th–90th $42–$1510%5%10%10th90th$78$50.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $69.18 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $75.86 / $151.36
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$46.77 / $100.00 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $114.82 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $75.86 / $112.20
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $95.50 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $56.23 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $83.18 / $181.97
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $79.43 / $85.11