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Connecticut 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 $257 · 10th–90th $98–$4170%20%10th90th$257Professionalmedian $120 · 10th–90th $55–$2950%10%10th90th$120$0.1$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
$93.33 / $257.04 / $398.11
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$141.25 / $263.03 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $112.20 / $281.84
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$57.54 / $125.89 / $316.23
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$91.20 / $91.20 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $112.20 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $181.97 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $125.89 / $223.87
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $165.96 / $229.09
ConnectiCare
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $181.97 / $181.97
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $181.97 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $125.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $138.04 / $251.19
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$79.43 / $138.04 / $251.19