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Idaho 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 $36 · 10th–90th $12–$2040%5%10th90th$36Professionalmedian $23 · 10th–90th $8–$550%5%10th90th$23$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
$26.92 / $79.43 / $316.23
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$125.89 / $147.91 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $21.88 / $54.95
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$13.18 / $31.62 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $63.10 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $31.62 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $20.89 / $38.02
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $22.39 / $42.66
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$123.03 / $138.04 / $245.47
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $22.39 / $48.98
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$11.75 / $31.62 / $66.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.44 / $38.02
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $22.91 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $21.38 / $41.69
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84