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Massachusetts 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 $24 · 10th–90th $7$1200%10%10th90th$24Professionalmedian $23 · 10th–90th $9$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
$8.91 / $29.51 / $112.20
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$66.07 / $114.82 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $21.88 / $57.54
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $39.81 / $85.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $29.51 / $489.78
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $24.55 / $158.49
AllWays Health Partners
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$5.13 / $13.49 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $22.91 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $24.55 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $194.98 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.44 / $44.67
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $14.79
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $21.88 / $41.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $24.55 / $60.26
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $27.54 / $33.11
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $36.31 / $67.61
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $29.51 / $489.78
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $24.55 / $158.49
Mass General Brigham
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$5.13 / $13.49 / $30.20
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $48.98
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $20.89 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $26.92 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $26.92 / $63.10
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $28.84 / $79.43