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Texas 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 $22 · 10th–90th $8$1000%10%20%10th90th$22Professionalmedian $20 · 10th–90th $8$400%10%20%10th90th$20$0.2$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
$7.24 / $30.90 / $181.97
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$45.71 / $109.65 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.95 / $41.69
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$17.38 / $31.62 / $67.61
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $22.39 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.62 / $22.91 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $16.98 / $24.55
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $16.60 / $24.55
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $21.38 / $33.88
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $20.42 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $169.82 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $21.38 / $34.67
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $489.78 / $489.78
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $489.78
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $20.89 / $37.15
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$46.77 / $134.90 / $199.53
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $19.05 / $32.36
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$16.98 / $30.90 / $67.61
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.79 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $27.54 / $89.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $20.89 / $37.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $21.88 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $19.05 / $34.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.20 / $33.88
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$22.91 / $28.84 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $24.55 / $29.51