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Colorado 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 $41 · 10th–90th $8–$1170%5%10%10th90th$41Professionalmedian $22 · 10th–90th $7–$520%5%10%10th90th$22$0.2$1.0$5.0$20.0$100.0

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
$7.76 / $28.18 / $97.72
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$63.10 / $114.82 / $263.03
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 / $34.67 / $69.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $19.95 / $38.02
Anthem 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
$128.82 / $151.36 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $21.88 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $34.67 / $69.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $23.44 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $28.18 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $20.42 / $40.74
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $28.84 / $79.43