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Iowa 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 $35 · 10th–90th $9$2750%10%10th90th$35Professionalmedian $23 · 10th–90th $7$630%10%10th90th$23$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
$11.48 / $40.74 / $177.83
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$25.12 / $93.33 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $21.88 / $60.26
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.38 / $38.90 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $20.89 / $53.70
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $30.90 / $51.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $19.50 / $37.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $489.78
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$23.99 / $23.99 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $37.15 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $33.88 / $67.61
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $22.91 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $19.50 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.44 / $57.54
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $28.84 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.49 / $33.11