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Minnesota rates for HCPCS 99205

Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded.

Facilitymedian $229 · 10th–90th $138–$6760%5%10%10th90th$229Professionalmedian $295 · 10th–90th $155–$6170%5%10th90th$295$10.0$50.0$200.0$1.0K

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
$134.90 / $173.78 / $407.38
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$123.03 / $123.03 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $229.09 / $562.34
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $316.23 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $331.13 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $478.63 / $660.69
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$223.87 / $380.19 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $707.95 / $1,949.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $446.68 / $776.25
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $776.25 / $1,548.82
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $707.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $239.88 / $489.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $549.54 / $724.44
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$389.05 / $575.44 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $354.81 / $588.84
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $89.13 / $338.84