go back

Tennessee 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 $87 · 10th–90th $29–$1740%10%10th90th$87Professionalmedian $51 · 10th–90th $29–$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
$33.11 / $81.28 / $169.82
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$87.10 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $48.98 / $100.00
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$33.88 / $57.54 / $120.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $54.95 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$40.74 / $54.95 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $46.77 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $120.23 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $79.43
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Lucent Health
Facility/Professional
Facility
Modifier
62
Typical Low / Median / Typical High
$141.25 / $141.25 / $141.25
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $354.81 / $354.81
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $53.70 / $91.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $27.54 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $41.69 / $72.44
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $89.13 / $100.00