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Vermont 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 $26 · 10th–90th $8–$1860%10%10th90th$26Professionalmedian $21 · 10th–90th $7–$460%5%10%10th90th$21$5.0$10.0$20.0$50.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $22.91 / $346.74
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
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
$23.44 / $45.71 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $23.44 / $41.69
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $27.54 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $18.20 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $24.55 / $61.66