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Alabama 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 $91 · 10th–90th $76–$1150%20%10th90th$91Professionalmedian $112 · 10th–90th $55–$2630%5%10%10th90th$112$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
$75.86 / $91.20 / $107.15
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$194.98 / $194.98 / $281.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $107.15 / $257.04
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$57.54 / $120.23 / $275.42
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$234.42 / $309.03 / $309.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $114.82 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$89.13 / $125.89 / $169.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $117.49 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $134.90 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $107.15 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $89.13 / $144.54
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $89.13 / $181.97