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Delaware 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 $47 · 10th–90th $18–$2950%10%10th90th$47Professionalmedian $21 · 10th–90th $7–$470%10%10th90th$21$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
$7.08 / $44.67 / $151.36
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$144.54 / $245.47 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.05 / $43.65
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.50 / $38.02 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $131.83 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $20.89 / $33.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $26.30 / $75.86
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$20.42 / $23.44 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.05 / $34.67