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Utah 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 $54 · 10th–90th $31–$1320%10%10th90th$54Professionalmedian $56 · 10th–90th $29–$1450%5%10%10th90th$56$2.0$10.0$50.0$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
$25.70 / $53.70 / $100.00
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$100.00 / $131.83 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $53.70 / $134.90
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$30.20 / $61.66 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $120.23 / $190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $51.29 / $72.44
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $58.88 / $93.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $58.88 / $104.71
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
$24.55 / $44.67 / $79.43
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$51.29 / $67.61 / $89.13