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South Dakota 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 $120 · 10th–90th $18–$2630%5%10%10th90th$120Professionalmedian $22 · 10th–90th $7–$540%5%10%10th90th$22$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
$33.88 / $120.23 / $263.03
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$134.90 / $239.88 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $21.88 / $53.70
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $38.02 / $61.66
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $8.91 / $13.80
Avera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $23.99 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.50 / $52.48
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $17.78 / $38.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $32.36 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $33.88 / $44.67
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $45.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $25.70 / $45.71
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
$9.33 / $21.88 / $50.12
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $13.49 / $36.31