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Arizona rates for HCPCS 99212

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded.

Facilitymedian $60 · 10th–90th $27–$4270%5%10th90th$60Professionalmedian $55 · 10th–90th $29–$1380%5%10%10th90th$55$1.0$5.0$20.0$100.0$500.0

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
$26.92 / $100.00 / $436.52
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$77.62 / $257.04 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $53.70 / $134.90
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$33.11 / $61.66 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $51.29 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$39.81 / $54.95 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $30.90 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $41.69 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $109.65 / $234.42
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $44.67 / $87.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $43.65 / $74.13
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $354.81
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$23.99 / $47.86 / $117.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $28.18 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $41.69 / $79.43
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $72.44 / $100.00