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Arizona 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 $26 · 10th–90th $7–$2450%5%10%10th90th$26Professionalmedian $23 · 10th–90th $7–$660%10%10th90th$23$0.2$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
$7.24 / $75.86 / $512.86
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$43.65 / $93.33 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $21.38 / $60.26
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $34.67 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $22.39 / $29.51
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.78 / $21.88 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $120.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $16.60 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $109.65 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $20.42 / $37.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $17.78 / $32.36
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,513.56
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.84 / $489.78
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $19.50 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $13.80 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $19.50 / $38.90
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$23.99 / $28.84 / $79.43