go back

Minnesota 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 $170 · 10th–90th $68–$5130%5%10th90th$170Professionalmedian $135 · 10th–90th $65–$3240%5%10th90th$135$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
$53.70 / $134.90 / $436.52
Aetna
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$112.20 / $245.47 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $120.23 / $295.12
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 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $177.83 / $1,096.48
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $263.03 / $363.08
BCBS
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$120.23 / $208.93 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $416.87 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $251.19 / $436.52
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $912.01
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $257.04 / $416.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $128.82 / $281.84
Medica
Facility/Professional
Facility
Modifier
25
Typical Low / Median / Typical High
$239.88 / $371.54 / $575.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $302.00 / $398.11
Medica
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$218.78 / $288.40 / $371.54
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
$81.28 / $181.97 / $323.59
United
Facility/Professional
Professional
Modifier
25
Typical Low / Median / Typical High
$85.11 / $95.50 / $181.97