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Georgia 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 $324 · 10th–90th $78–$5500%10%20%10th90th$324Professionalmedian $115 · 10th–90th $58–$2570%10%20%10th90th$115$1.0$5.0$20.0$100.0$500.0$2.0K

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
$77.62 / $134.90 / $524.81
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$288.40 / $371.54 / $602.56
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $109.65 / $257.04
Aetna
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$58.88 / $120.23 / $269.15
Aetna
Facility/Professional
Professional
Modifier
50
Typical Low / Median / Typical High
$95.50 / $95.50 / $234.42
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $128.82 / $204.17
Ambetter
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$97.72 / $134.90 / $213.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $112.20 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $131.83 / $186.21
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $151.36 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $144.54 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $114.82 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $138.04 / $234.42
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $181.97 / $478.63
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $158.49 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $95.50 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $104.71 / $181.97
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$70.79 / $107.15 / $204.17