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Oregon 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 $302 · 10th–90th $162–$4570%10%10th90th$302Professionalmedian $269 · 10th–90th $151–$6920%5%10th90th$269$2.0$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
$138.04 / $309.03 / $524.81
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$208.93 / $602.56 / $1,148.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $251.19 / $676.08
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $331.13 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $331.13 / $524.81
HealthNet
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $389.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $562.34
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $245.47 / $416.87
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$208.93 / $602.56 / $1,148.15
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $316.23 / $537.03
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$169.82 / $338.84 / $741.31
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $389.05 / $436.52
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $239.88 / $416.87
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $389.05 / $549.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $407.38 / $588.84
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 / $323.59 / $489.78
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $85.11 / $269.15