go back

Washington 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 $27 · 10th–90th $10–$1620%10%10th90th$27Professionalmedian $23 · 10th–90th $8–$650%10%10th90th$23$0.5$2.0$10.0$50.0$200.0$1.0K

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
$10.96 / $28.18 / $204.17
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$52.48 / $144.54 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $22.91 / $61.66
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $33.88 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $25.70 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$19.05 / $23.44 / $50.12
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $26.30 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $23.44 / $50.12
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.05 / $42.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $18.62 / $40.74
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $38.90 / $45.71
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $30.20 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $26.30 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.59 / $28.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $24.55 / $54.95
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $28.84 / $35.48