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North Carolina 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 $9$1380%10%10th90th$25Professionalmedian $23 · 10th–90th $9$490%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
$8.71 / $36.31 / $154.88
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$56.23 / $134.90 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $21.88 / $47.86
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.62 / $32.36 / $61.66
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $22.39 / $37.15
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.38 / $22.91 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $28.18 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $125.89 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $21.88 / $39.81
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $23.99 / $42.66
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $19.95 / $34.67
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $57.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $22.91 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $19.05 / $34.67
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $28.84 / $79.43
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $489.78 / $489.78