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Wisconsin 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 $78 · 10th–90th $10$2090%10%10th90th$78Professionalmedian $23 · 10th–90th $7$720%10%10th90th$23$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
$15.14 / $95.50 / $239.88
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$56.23 / $95.50 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $20.42 / $61.66
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$21.38 / $38.90 / $79.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $23.99 / $48.98
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $15.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $74.13 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $25.12 / $60.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $18.20 / $33.11
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $30.90 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $19.05 / $42.66
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$138.04 / $138.04 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $47.86 / $489.78
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$25.12 / $66.07 / $97.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $29.51 / $58.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $26.92 / $67.61
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $27.54 / $489.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $28.84 / $489.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $27.54 / $48.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $54.95 / $79.43
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$24.55 / $28.84 / $79.43