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Washington, DC 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 $56 · 10th–90th $17–$1380%10%10th90th$56Professionalmedian $22 · 10th–90th $7–$490%5%10%10th90th$22$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$16.98 / $47.86 / $138.04
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$123.03 / $123.03 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.89 / $45.71
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.50 / $38.02 / $64.57
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.41 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $20.42 / $39.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $28.18 / $46.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $20.42 / $42.66
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43