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Utah 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 $95 · 10th–90th $17–$5010%20%10th90th$95Professionalmedian $23 · 10th–90th $8–$600%5%10%10th90th$23$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
$16.98 / $87.10 / $501.19
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$95.50 / $95.50 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $21.88 / $60.26
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$18.20 / $30.90 / $74.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $120.23 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $21.38 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $18.20 / $33.11
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $23.99 / $28.18
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $26.30 / $43.65
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
$8.51 / $19.50 / $37.15
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $24.55 / $79.43