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Kentucky 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 $14 · 10th–90th $6–$870%5%10%10th90th$14Professionalmedian $20 · 10th–90th $7–$440%5%10%10th90th$20$0.5$2.0$10.0$50.0$200.0

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
$5.89 / $14.45 / $25.70
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$63.10 / $89.13 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.50 / $40.74
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $32.36 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $22.91 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $17.38 / $23.44
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $9.33 / $13.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $23.44 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $20.89 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $28.84 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.20 / $31.62
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $28.84 / $89.13