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Georgia 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 $100 · 10th–90th $33–$4270%5%10%10th90th$100Professionalmedian $52 · 10th–90th $29–$1100%10%20%10th90th$52$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
$30.90 / $95.50 / $426.58
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$95.50 / $257.04 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $51.29 / $107.15
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$30.90 / $54.95 / $114.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $56.23 / $89.13
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$42.66 / $57.54 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $44.67 / $89.13
Anthem BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $47.86 / $67.61
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $66.07 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $46.77 / $89.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $60.26 / $100.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
22
Typical Low / Median / Typical High
$91.20 / $114.82 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
62
Typical Low / Median / Typical High
$28.18 / $36.31 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Typical Low / Median / Typical High
$2.40 / $3.09 / $4.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$1.20 / $1.51 / $2.45
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $123.03 / $549.54
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $109.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $43.65 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $43.65 / $79.43
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $70.79 / $89.13