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Nebraska 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 $282 · 10th–90th $151–$5750%5%10%10th90th$282Professionalmedian $219 · 10th–90th $141–$4680%10%10th90th$219$50.0$100.0$200.0$500.0$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
$144.54 / $363.08 / $630.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $204.17 / $446.68
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$173.78 / $380.19 / $537.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $316.23 / $446.68
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$194.98 / $302.00 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $416.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $295.12 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $218.78 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $275.42 / $512.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $239.88 / $380.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $389.05 / $1,122.02
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$309.03 / $398.11 / $524.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $354.81 / $426.58
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $354.81 / $489.78
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $426.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $194.98 / $275.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $251.19 / $436.52
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$91.20 / $91.20 / $269.15