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Washington, DC 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 $123 · 10th–90th $60–$1480%10%20%10th90th$123Professionalmedian $54 · 10th–90th $28–$1120%5%10%10th90th$54$10.0$20.0$50.0$100.0$200.0$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
$60.26 / $114.82 / $147.91
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$117.49 / $128.82 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $52.48 / $109.65
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$30.90 / $56.23 / $114.82
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $28.84 / $52.48
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
$26.30 / $46.77 / $95.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $67.61 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $45.71 / $91.20
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $79.43 / $112.20