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Delaware rates for HCPCS 99213

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded.

Facilitymedian $135 · 10th–90th $52–$3160%10%10th90th$135Professionalmedian $85 · 10th–90th $50–$1820%10%10th90th$85$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
$53.70 / $117.49 / $316.23
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$46.77 / $257.04 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $81.28 / $177.83
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$54.95 / $89.13 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $131.83 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $72.44 / $138.04
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $147.91 / $199.53
Highmark BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $120.23 / $190.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $67.61 / $123.03
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $89.13 / $102.33