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Idaho 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 $62 · 10th–90th $28–$2190%5%10th90th$62Professionalmedian $55 · 10th–90th $30–$1230%5%10%10th90th$55$10.0$20.0$50.0$100.0$200.0

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
$9.33 / $74.13 / $234.42
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$42.66 / $141.25 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $53.70 / $128.82
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$33.11 / $57.54 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $70.79 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $53.70 / $95.50
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $51.29 / $91.20
Moda Health
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$42.66 / $134.90 / $234.42
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $114.82
Moda Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$33.11 / $58.88 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $165.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $66.07 / $93.33
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $56.23 / $95.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $51.29 / $85.11
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$28.84 / $85.11 / $100.00