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Tennessee 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 $78 · 10th–90th $18–$1050%20%10th90th$78Professionalmedian $21 · 10th–90th $7–$470%10%20%10th90th$21$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$15.49 / $69.18 / $104.71
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$70.79 / $85.11 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.95 / $43.65
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.50 / $39.81 / $74.13
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $22.39 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $22.39 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $18.62 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $120.23 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $19.95 / $33.88
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $489.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $218.78 / $489.78
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $25.12 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $19.05 / $34.67
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84