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Virginia 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 $19 · 10th–90th $8$710%10%10th90th$19Professionalmedian $21 · 10th–90th $7$480%10%10th90th$21$0.5$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
$8.13 / $20.89 / $109.65
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$70.79 / $87.10 / $87.10
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 / $33.11 / $69.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $21.38 / $40.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.24 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $141.25 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $21.38 / $36.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $28.18 / $41.69
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
$8.32 / $20.42 / $36.31
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $25.12 / $50.12
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $19.50
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.70 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $14.79 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $18.62 / $38.02
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$23.99 / $24.55 / $79.43