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Arizona 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 $68–$8130%10%10th90th$126Professionalmedian $126 · 10th–90th $58–$3310%10%10th90th$126$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$63.10 / $169.82 / $933.25
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$120.23 / $707.95 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $123.03 / $323.59
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $131.83 / $354.81
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$91.20 / $95.50 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $158.49
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$87.10 / $123.03 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $95.50 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $120.23 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $112.20 / $213.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $107.15 / $177.83
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $602.56
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$87.10 / $114.82 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $69.18 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $100.00 / $177.83
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$60.26 / $89.13 / $165.96