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Florida 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 $81 · 10th–90th $8$2340%10%10th90th$81Professionalmedian $21 · 10th–90th $8$500%10%10th90th$21$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
$7.59 / $24.55 / $177.83
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$74.13 / $154.88 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $19.95 / $46.77
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $33.11 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $22.39 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $22.39 / $32.36
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $17.78
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $19.50 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $125.89 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.89 / $38.02
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $223.87 / $416.87
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $20.42 / $144.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $26.30 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $16.98 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $17.78 / $36.31
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$13.49 / $28.84 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $17.78 / $23.44