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Ohio 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 $46 · 10th–90th $7–$950%20%10th90th$46Professionalmedian $21 · 10th–90th $7–$520%10%10th90th$21$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $27.54 / $95.50
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$7.08 / $48.98 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.95 / $48.98
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$16.98 / $33.11 / $75.86
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $21.38 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $22.91 / $28.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.95 / $32.36
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $21.38 / $36.31
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $9.33 / $13.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $120.23 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $20.42 / $36.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $109.65 / $165.96
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $20.89 / $32.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $32.36 / $33.11
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.92 / $53.70
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $18.62 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $21.38 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $19.05 / $38.90
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $28.84 / $79.43