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Georgia 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 $83 · 10th–90th $10–$2950%10%20%10th90th$83Professionalmedian $21 · 10th–90th $8–$470%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
$8.13 / $85.11 / $295.12
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$83.18 / $112.20 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.42 / $45.71
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $32.36 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $22.91 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $22.91 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $20.89 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $16.60
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $20.89 / $37.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $24.55 / $40.74
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $22.91 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $24.55 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.95 / $37.15
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$26.30 / $28.84 / $85.11