go back

Delaware 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 $93 · 10th–90th $32–$5130%5%10%10th90th$93Professionalmedian $51 · 10th–90th $28–$1100%5%10%10th90th$51$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
$28.84 / $61.66 / $575.44
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$79.43 / $263.03 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $47.86 / $107.15
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$33.11 / $57.54 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $131.83 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $44.67 / $83.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $60.26 / $177.83
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$57.54 / $67.61 / $141.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $42.66 / $79.43
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13