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Minnesota 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 $129 · 10th–90th $62–$3980%10%10th90th$129Professionalmedian $132 · 10th–90th $71–$3020%5%10th90th$132$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
$56.23 / $102.33 / $186.21
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$93.33 / $512.86 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $112.20 / $281.84
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $123.03 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $151.36 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $229.09 / $316.23
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$102.33 / $181.97 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $354.81 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $213.80 / $389.05
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $398.11 / $776.25
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $213.80 / $363.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $114.82 / $239.88
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$107.15 / $288.40 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $281.84 / $346.74
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$190.55 / $281.84 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $173.78 / $295.12
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $120.23 / $213.80