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Minnesota 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 $79 · 10th–90th $32–$3160%10%10th90th$79Professionalmedian $62 · 10th–90th $32–$1350%10%10th90th$62$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
$33.11 / $93.33 / $338.84
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$63.10 / $125.89 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $53.70 / $120.23
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$32.36 / $57.54 / $123.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $64.57 / $354.81
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $97.72 / $158.49
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$43.65 / $77.62 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $181.97 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $102.33 / $194.98
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $204.17 / $398.11
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $104.71 / $186.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $52.48 / $117.49
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$77.62 / $199.53 / $602.56
Medica
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$93.33 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$15.14 / $15.85 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $128.82 / $177.83
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$83.18 / $120.23 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $74.13 / $138.04
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$72.44 / $85.11 / $112.20