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South 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 $23 · 10th–90th $7–$1350%5%10th90th$23Professionalmedian $21 · 10th–90th $7–$480%5%10%10th90th$21$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
$6.31 / $19.05 / $213.80
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$53.70 / $131.83 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.05 / $44.67
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$20.42 / $36.31 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $21.88 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $21.88 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $33.11 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $19.95 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $95.50 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $20.42 / $35.48
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.99 / $31.62
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $19.50 / $35.48
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $17.38 / $30.20