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Michigan 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 $22 · 10th–90th $8$1230%10%10th90th$22Professionalmedian $22 · 10th–90th $7$580%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
$7.59 / $21.88 / $112.20
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$61.66 / $102.33 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.89 / $54.95
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.78 / $33.88 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $21.38 / $32.36
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $22.91 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $25.12 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $24.55 / $39.81
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.96 / $14.79
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $27.54 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $20.42 / $37.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $20.42 / $123.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$61.66 / $102.33 / $707.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.05 / $41.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.78 / $34.67 / $79.43
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $134.90 / $147.91
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $20.42 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $18.20 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $20.89 / $48.98
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55