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Nationwide rates for HCPCS 99211

Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional

Facilitymedian $30 · 10th–90th $9–$1950%10%10th90th$30Professionalmedian $22 · 10th–90th $8–$520%20%10th90th$22$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$7.94 / $38.90 / $208.93
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$53.70 / $117.49 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.89 / $48.98
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.62 / $33.11 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.80 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $19.05 / $35.48
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $134.90 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $21.38 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $22.39 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $23.44 / $54.95
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$23.99 / $28.84 / $79.43

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