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Montana 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 $23 · 10th–90th $10–$450%10%10th90th$23Professionalmedian $23 · 10th–90th $8–$580%5%10%10th90th$23$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
$117.49 / $154.88 / $724.44
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$85.11 / $85.11 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $21.88 / $54.95
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $32.36 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $31.62 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.95 / $37.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $25.70 / $40.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $25.70 / $40.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $20.89 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $24.55 / $66.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $23.44 / $42.66