search again

Nationwide rates for HCPCS 99214

Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded.

Facilitymedian $126 · 10th–90th $66–$3720%10%10th90th$126Professionalmedian $120 · 10th–90th $60–$2880%10%10th90th$120$0.1$1.0$10.0$100.0$1.0K$10.0K

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
$61.66 / $120.23 / $354.81
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$70.79 / $234.42 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $117.49 / $281.84
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $125.89 / $309.03
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$95.50 / $95.50 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $89.13 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $102.33 / $181.97
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $151.36 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $85.11 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $109.65 / $245.47
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $95.50 / $194.98

See more rates by state

Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.