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New York 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 $43 · 10th–90th $7$2820%5%10%10th90th$43Professionalmedian $23 · 10th–90th $8$550%10%10th90th$23$0.1$0.5$2.0$10.0$50.0$200.0$1.0K

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
$6.76 / $26.92 / $239.88
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$61.66 / $218.78 / $676.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $21.88 / $53.70
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$16.98 / $32.36 / $72.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $21.88 / $26.92
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.62 / $22.91 / $25.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $398.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $16.60 / $33.88
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $128.82
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $109.65 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.99 / $48.98
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.10 / $0.10 / $25.12
Emblem Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$0.10 / $0.10 / $0.10
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $39.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $36.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $25.70 / $48.98
Fidelis
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $14.79 / $26.92
Fidelis
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.38 / $28.18 / $44.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $50.12 / $112.20
Highmark BCBS
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$83.18 / $83.18 / $104.71
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $54.95
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.38 / $21.88 / $34.67
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $31.62 / $51.29
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $26.92 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $64.57
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $33.11 / $79.43
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $20.42 / $51.29
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $24.55 / $45.71