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Missouri 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 $25 · 10th–90th $8–$1480%5%10%10th90th$25Professionalmedian $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
$7.41 / $24.55 / $173.78
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$38.90 / $79.43 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.89 / $51.29
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.95 / $34.67 / $81.28
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $20.89 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.38 / $19.95 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $17.78 / $28.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $21.88 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $147.91 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.42 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $17.78 / $36.31
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$100.00 / $100.00 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.18 / $489.78
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$26.30 / $26.30 / $30.20
Qualchoice
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $24.55 / $28.84
Qualchoice
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $26.92 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $19.95 / $38.90
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$23.99 / $23.99 / $24.55