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Oregon 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 $151 · 10th–90th $83$2570%10%10th90th$151Professionalmedian $129 · 10th–90th $72$3160%5%10%10th90th$129$1.0$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
$112.20 / $165.96 / $302.00
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$128.82 / $389.05 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $123.03 / $316.23
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $134.90 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $154.88 / $263.03
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $190.55 / $281.84
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $123.03 / $208.93
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$128.82 / $281.84 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $147.91 / $269.15
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$81.28 / $141.25 / $309.03
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $204.17 / $218.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $120.23 / $208.93
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $181.97 / $281.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $199.53 / $295.12
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 / $151.36 / $251.19
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $131.83 / $177.83