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Indiana 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 $52 · 10th–90th $7–$2290%10%10th90th$52Professionalmedian $22 · 10th–90th $7–$480%10%10th90th$22$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
$6.46 / $51.29 / $229.09
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$47.86 / $64.57 / $245.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.42 / $44.67
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $32.36 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $22.39 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.62 / $22.91 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.42 / $32.36
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.47 / $12.59
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $100.00 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.42 / $34.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $24.55 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $19.05 / $37.15
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $26.30 / $79.43