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South Carolina 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 $51 · 10th–90th $28–$1510%5%10%10th90th$51Professionalmedian $51 · 10th–90th $28–$1050%10%10th90th$51$10.0$20.0$50.0$100.0$200.0$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
$25.12 / $46.77 / $151.36
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$67.61 / $147.91 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $47.86 / $100.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$31.62 / $54.95 / $117.49
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $53.70 / $85.11
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$43.65 / $53.70 / $77.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $67.61 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.90 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $95.50 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $43.65 / $81.28
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $45.71 / $56.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $46.77 / $79.43
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $64.57
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$54.95 / $79.43 / $100.00