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Nebraska 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 $74 · 10th–90th $36$2000%5%10%10th90th$74Professionalmedian $52 · 10th–90th $28$1000%10%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
$40.74 / $83.18 / $281.84
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$72.44 / $117.49 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $50.12 / $97.72
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$34.67 / $58.88 / $104.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $66.07 / $107.15
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$46.77 / $66.07 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $177.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $64.57 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $74.13 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $56.23 / $131.83
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $51.29 / $93.33
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$77.62 / $77.62 / $162.18
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
$50.12 / $97.72 / $223.87
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$69.18 / $95.50 / $120.23
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $81.28 / $109.65
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $75.86 / $125.89
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $162.18 / $162.18
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $53.70 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $69.18 / $177.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $53.70 / $102.33
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $89.13 / $89.13