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Arizona rates for HCPCS 99203

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

Facilitymedian $138 · 10th–90th $60$1,2590%5%10th90th$138Professionalmedian $120 · 10th–90th $66$3240%5%10th90th$120$5.0$20.0$100.0$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
$52.48 / $208.93 / $1,288.25
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$239.88 / $1,000.00 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $114.82 / $323.59
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $128.82 / $331.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $104.71 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$87.10 / $109.65 / $144.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $43.65 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $83.18 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $107.15 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $97.72 / $158.49
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$208.93 / $208.93 / $208.93
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $134.90 / $691.83
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$91.20 / $162.18 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $69.18 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $100.00 / $173.78
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $128.82 / $181.97