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Nevada 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 $447 · 10th–90th $138–$1,3180%20%10th90th$447Professionalmedian $89 · 10th–90th $52–$2290%20%10th90th$89$0.5$2.0$10.0$50.0$200.0$1.0K

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
$138.04 / $446.68 / $1,318.26
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$223.87 / $478.63 / $1,445.44
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $89.13 / $213.80
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$51.29 / $93.33 / $245.47
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$257.04 / $263.03 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $89.13 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $93.33 / $141.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $128.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $75.86 / $134.90
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $74.13 / $128.82
Hometown Health
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.45 / $85.11 / $141.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $89.13 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $144.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $74.13 / $131.83
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$48.98 / $112.20 / $165.96